Active NPI
Rebecca Ana Bell-Gurwitz, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1912420175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8465
- Practice address
- 2230 NW Pettygrove St Ste 130
Portland, OR 97210-2659 - Phone
- (503) 208-7171
- Fax
- (888) 965-8362
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 | L8465 | OR | Primary |
Addresses
Primary practice location
2230 NW Pettygrove St Ste 130
Portland, OR 97210-2659
Mailing address
2230 NW Pettygrove St Ste 130
Portland, OR 97210-2659
Phone (503) 208-7171
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8465 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest DBT LLC | Current | Accepting new patients |
Locations
2230 NW Pettygrove St
Ste 130
Portland, OR 97210
Phone (503) 963-6540
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Portland, OR
- NPI 1215574058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590364800000",
"number": "1912420175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST STE 130",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-208-7171",
"fax_number": "888-965-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 NW PETTYGROVE ST STE 130",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102659",
"telephone_number": "503-208-7171",
"fax_number": "888-965-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL-GURWITZ",
"first_name": "REBECCA",
"middle_name": "ANA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2020-05-25",
"certification_date": "2020-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.