Organization Active NPI

Resolve Therapy, LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1891286555
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4241 Issued in OR
Legal business name
RESOLVE THERAPY, LLC
Practice address
3419 NE Sandy Blvd
Portland, OR 97232-1959
Phone
(971) 319-4255
Fax
(503) 914-1901
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Bridget M Geraghty, LCSWNPI 1053440560
Title
Founder
Phone
(971) 319-4255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X L4241 OR Primary

Addresses

Primary practice location

3419 NE Sandy Blvd
Portland, OR 97232-1959

Mailing address

3419 NE Sandy Blvd
Portland, OR 97232-1959
Phone (971) 319-4255

Other names 1

  • Bridget Geraghty, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

3419 NE Sandy Blvd
Portland, OR 97232
Phone (503) 233-4543

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1891286555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "971-319-4255",
            "fax_number": "503-914-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "971-319-4255",
            "fax_number": "503-914-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GERAGHTY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "971-319-4255",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridget Geraghty, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 2018; 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.