Sarah Kathryn Dora Vanderpool

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A5759 Issued in OR

Practice address

8715 SE Knapp St
Portland, OR 97266-5752

Phone

(971) 930-6959

NPI assigned

Aug 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Kathryn Dora Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Human in Me Therapy LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1891413217
  NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1831826718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 SE KNAPP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665752",
            "telephone_number": "971-930-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 SE KNAPP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665752",
            "telephone_number": "971-930-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOOL",
        "first_name": "SARAH",
        "middle_name": "KATHRYN DORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dora@humainmetherapy.com",
            "affiliation": "N",
            "address_1": "8715 SE Knapp St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972665752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DORA",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanderloo Chiropractic LLC
• Lance Richard Vanderloo, D.C.
• Larissa Ann Vandermeer
• William J.L. Vandermolen, M.D.
• Dalton Vanderpol, MD
• Isabel Ruth Vanderslice, MD
• Elizabeth Vanderveer, M.D.
• Jonnie McRae Vanderzanden, LPC
• Amanda Vandeventer, PA-C
• Travis Vandinh, DNP , AGACNP

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.