Individual provider Active NPI

Carly Jun Spaulding, BSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1861018905
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
6011 NE Oregon St
Portland, OR 97213-4300
Phone
(971) 319-4827
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X OR Primary

Addresses

Primary practice location

6011 NE Oregon St
Portland, OR 97213-4300

Mailing address

6011 NE Oregon St
Portland, OR 97213-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260512001985 OR Practitioner - Clinical Social Worker 9032688759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9133 N Allegheny Ave
Portland, OR 97203-2303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Therapy PDX LLC CurrentSince Apr 1, 2026 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. PastSince Nov 1, 2020 Accepting new patients
Specialized Alternatives for Families and Youth of Colorado, Inc. PastSince Nov 1, 2020 Accepting new patients

Locations

6011 NE Oregon St
Ste 100
Portland, OR 97213
Phone (971) 319-4827

6011 NE Oregon St
Portland, OR 97213
Phone (971) 256-5766

Organizations & group practices 3

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1861018905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 NE OREGON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134300",
            "telephone_number": "971-319-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "CARLY",
        "middle_name": "JUN",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.