Organization Active NPI

Straight From the Heart

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1972639458
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ALICE RICHARD LIC# 1 Issued in OR
Legal business name
STRAIGHT FROM THE HEART
Practice address
5404 N Montana Ave
Portland, OR 97217-4557
Phone
(503) 232-0969
Fax
(503) 234-2326
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Paul Jerome Stretch, LCSW
Title
President of Straight From the Hear
Phone
(503) 232-0969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X ALICE RICHARD LIC# 1 OR Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X PAUL STRETCH #1994 OR

Addresses

Primary practice location

5404 N Montana Ave
Portland, OR 97217-4557

Mailing address

5404 N Montana Ave
Portland, OR 97217-4557
Phone (503) 232-0969

Other names 1

  • Alicia Richards LCSW and Paul Stretch LCSW Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1972639458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 N MONTANA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174557",
            "telephone_number": "503-232-0969",
            "fax_number": "503-234-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 N MONTANA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174557",
            "telephone_number": "503-232-0969",
            "fax_number": "503-234-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT FROM THE HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "STRETCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT OF STRAIGHT FROM THE HEAR",
        "authorized_official_telephone_number": "503-232-0969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "ALICE RICHARD LIC# 1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "PAUL STRETCH #1994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alicia Richards LCSW and Paul Stretch LCSW Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 28, 2008; 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.