Active NPI
Deanne Warner, M.S.W.
- Social Worker
- Gresham, OR
National Provider Identifier
1760791271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- A2757
- Practice address
- 123 E Powell Blvd
Ste. 212
Gresham, OR 97030-7624 - Phone
- (503) 618-8041
- Fax
- (503) 618-8052
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | A2757 | OR | Primary |
Addresses
Primary practice location
123 E Powell Blvd
Ste. 212
Gresham, OR 97030-7624
Mailing address
123 E Powell Blvd
Ste. 212
Gresham, OR 97030-7624
Phone (503) 618-8041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2757 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1760791271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E POWELL BLVD",
"address_2": "STE. 212",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307624",
"telephone_number": "503-618-8041",
"fax_number": "503-618-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E POWELL BLVD",
"address_2": "STE. 212",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307624",
"telephone_number": "503-618-8041",
"fax_number": "503-618-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "DEANNE",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.