Pauline Anne Picco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3133 Issued in OR

Practice address

2100 SE Belmont St
Portland, OR 97214-2815

Phone

(503) 674-7777

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1891816641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SE 121ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972164040",
            "telephone_number": "503-761-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142815",
            "telephone_number": "503-674-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCO",
        "first_name": "PAULINE",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Piatski, MD
• Margaret Mary Piatz Benck, O.D.
• Christa Lee Piazza, P.T., D.P.T
• Allison Poppy Picard
• Robert James Picariello, MS, LMFT, CADC II
• Leland Matthew Piccolo, PAC
• Cheyenne Nicole Pickel, RDH
• Tristan Elizabeth Pickell
• Angela Leah Pickens, MD
• Stacy Pickerel

• 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 Dec 13, 2011; 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.