Individual provider Active NPI

Miriam Louise Robinson, L.C.S.W.

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1790844744
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1678 Issued in OR
Practice address
5331 S Macadam Ave
208
Portland, OR 97239-6403
Phone
(503) 465-5708
Fax
(503) 465-5707
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Clinical Social Worker 1041C0700X 1678 OR Primary

Addresses

Primary practice location

5331 S Macadam Ave
208
Portland, OR 97239-6403

Mailing address

5331 S Macadam Ave
208
Portland, OR 97239-3851
Phone (503) 465-5708

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

LicenseStateTypeSpecialty
1678ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Miriam L Robinson, Licensed Clinical Social Worker, LLC Clinical CurrentSince Oct 1, 2023 Accepting new patients

Locations

1811 Sardis Rd N
Ste 207
Charlotte, NC 28270
Phone (704) 776-5584

5331 S Macadam Ave
Ste 283
Portland, OR 97239
Phone (503) 465-5708

5331 S Macadam Ave
Ste 208
Portland, OR 97239
Phone (503) 465-5708

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1790844744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE",
            "address_2": "208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393851",
            "telephone_number": "503-465-5708",
            "fax_number": "503-465-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE",
            "address_2": "208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396403",
            "telephone_number": "503-465-5708",
            "fax_number": "503-465-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MIRIAM",
        "middle_name": "LOUISE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.