Active NPI
Emily Katherine Sladicka
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1801330634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12632358-3501
- Practice address
- 200 SW Market St
Portland, OR 97201-5715 - Phone
- (385) 502-3828
- NPI assigned
- Dec 13, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | TPSW4416 | FL | |
| Clinical Social Worker | 1041C0700X | C017543 | NC | |
| Clinical Social Worker | 1041C0700X | 12632358-3501 | UT | Primary |
Addresses
Primary practice location
200 SW Market St
Portland, OR 97201-5715
Mailing address
10723 S Grandville Ave Unit 2204
South Jordan, UT 84009-1861
Phone (385) 502-3828
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPSW4416 | FL | MD | Clinical Social Worker |
| C017543 | NC | MD | Clinical Social Worker |
| 12632358-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1801330634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10723 S GRANDVILLE AVE UNIT 2204",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840091861",
"telephone_number": "385-502-3828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SW MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015715",
"telephone_number": "385-502-3828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLADICKA",
"first_name": "EMILY",
"middle_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "TPSW4416",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C017543",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "12632358-3501",
"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 Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.