Embodied Connections Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBODIED CONNECTIONS THERAPY LLC

Practice address

21427 SW 90TH CT
Tualatin, OR 97062-8909

Phone

(801) 244-0211

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Eva Chesler Firth, LCSWNPI 1083108658

Title

Owner

Phone

(801) 244-0211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eva Firth

  • Clinical Social Worker
  • Tualatin, OR
  • NPI 1083108658
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1962287250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 SW BOONES FERRY RD STE 3",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628491",
            "telephone_number": "801-244-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21427 SW 90TH CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628909",
            "telephone_number": "801-244-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED CONNECTIONS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "FIRTH",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "CHESLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-244-0211",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Tualatin, OR
• Providers in Tualatin, 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 Aug 12, 2024; 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.