Active NPI
Juanita Tapio-Brewer
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1982343158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Neurofeedback, LLC | Current | Accepting new patients | |
| Larsen Sanchez Psychology, LLC | Current | 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.
-
- Clinical Psychologist
- Portland, OR
- NPI 1588041388
-
- Mental Health Counselor
- Portland, OR
- NPI 1558875476
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.