Active NPI
Erin Elizabeth Driskill, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1861554669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4422
- Practice address
- 4511 SE Cesar Chavez Blvd
Portland, OR 97202-3119 - Phone
- (503) 208-3101
- Fax
- (503) 200-5550
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4422 | Primary |
Addresses
Primary practice location
4511 SE Cesar Chavez Blvd
Portland, OR 97202-3119
Mailing address
4511 SE Cesar Chavez Blvd
Portland, OR 97202-3119
Phone (503) 208-3101
Other names 1
- Ms. Erin Elizabeth Driskill
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Living PDX, LLC | Past | Accepting new patients | |
| Katherine Calvert LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Portland, OR
- NPI 1528411402
-
- Clinical Social Worker
- Beaverton, OR
- NPI 1124343827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1861554669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 SE CESAR CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023119",
"telephone_number": "503-208-3101",
"fax_number": "503-200-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 SE CESAR CHAVEZ BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023119",
"telephone_number": "503-208-3101",
"fax_number": "503-200-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISKILL",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "4422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "DRISKILL",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.