Active NPI
Sara Marie Correa-Hepburn, LCSW
- Clinical Social Worker
- Tigard, OR
National Provider Identifier
1841558491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6422
- Practice address
- 7165 SW Fir Loop
Suite 200
Tigard, OR 97223-8055 - Phone
- (503) 941-5256
- Fax
- (503) 941-5274
- NPI assigned
- May 1, 2012
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L6422 | OR | Primary |
Addresses
Primary practice location
7165 SW Fir Loop
Suite 200
Tigard, OR 97223-8055
Mailing address
7165 SW Fir Loop
Suite 200
Tigard, OR 97223-8055
Phone (503) 941-5256
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 |
|---|---|---|---|
| L6422 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1841558491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7165 SW FIR LOOP",
"address_2": "SUITE 200",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238055",
"telephone_number": "503-941-5256",
"fax_number": "503-941-5274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 SW FIR LOOP",
"address_2": "SUITE 200",
"city": "TIGARD",
"state": "OR",
"postal_code": "972238055",
"telephone_number": "503-941-5256",
"fax_number": "503-941-5274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA-HEPBURN",
"first_name": "SARA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.