Active NPI
Joan Arbor
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1942551486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3190
- Practice address
- 9035 N Oswego Ave
Portland, OR 97203-2332 - Phone
- (503) 784-7630
- NPI assigned
- Sep 24, 2012
- Last updated
- Jul 1, 2022
- 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 | 3190 | OR | Primary |
Addresses
Primary practice location
9035 N Oswego Ave
Portland, OR 97203-2332
Mailing address
4531 SE Belmont St Ste 100
Portland, OR 97215-1675
Phone (503) 215-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908002676 | OR | Practitioner - Clinical Social Worker | 2062896111 | Practice locations: Portland, OR |
| I20230501002455 | WA | Practitioner - Clinical Social Worker | 2062896111 | Practice locations: Vancouver, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9035 N Oswego Ave
Portland, OR 97203-2332
Phone (503) 544-3473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3190 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1942551486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 SE BELMONT ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151675",
"telephone_number": "503-215-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 N OSWEGO AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972032332",
"telephone_number": "503-784-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBOR",
"first_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-24",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "3190",
"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 Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.