Individual provider Active NPI

Juanita Tapio-Brewer

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1982343158
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1785 NE Sandy Blvd Ste 270
Portland, OR 97232-2791
Phone
(503) 622-8964
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1785 NE Sandy Blvd Ste 270
Portland, OR 97232-2791

Mailing address

9707 SE Holgate Blvd Apt 12
Portland, OR 97266-2646
Phone (503) 516-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250418000970 OR Practitioner - Clinical Social Worker 6305361650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Neurofeedback, LLC CurrentSince Jun 5, 2022 Accepting new patients
Larsen Sanchez Psychology, LLC CurrentSince Mar 16, 2025 Accepting new patients

Locations

905 SE 14th Ave
Portland, OR 97214
Phone (503) 622-8964

812 SW Washington St
Ste 700
Portland, OR 97205
Phone (503) 622-8964

1785 NE Sandy Blvd
Ste 270
Portland, OR 97232
Phone (503) 622-8964

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1982343158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 SE HOLGATE BLVD APT 12",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662646",
            "telephone_number": "503-516-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 NE SANDY BLVD STE 270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322791",
            "telephone_number": "503-622-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPIO-BREWER",
        "first_name": "JUANITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.