Joanna Mahto, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6642 Issued in OR

Practice address

1130 NW 22ND Ave Ste 320
Portland, OR 97210-2970

Phone

(503) 295-2546

Fax

(503) 790-1248

NPI assigned

Jul 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Metropolitan Pediatrics, LLC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1235131632

  Clinical

  NPD

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1891135828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SE SANDY BLVD STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142498",
            "telephone_number": "971-319-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102970",
            "telephone_number": "503-295-2546",
            "fax_number": "503-790-1248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393098",
            "country_code": "US",
            "telephone_number": "503-494-2273",
            "fax_number": "503-494-7979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 SE Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972023371",
            "country_code": "US",
            "telephone_number": "503-234-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHTO",
        "first_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Rae Mahoney, MSW, CADC II
• Taylor Mahoney
• Willow Dawn Mahoney
• Peter Nicholas Mahr, MD
• Rama Mahrous
• Huyen (Wendy) B Mai, PHARMD
• Jacqueline Mai
• Kevin Quangkien Mai, OT
• Linda Mai
• Tammy Mai, D.O.

• 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 Feb 13, 2023; 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.