Stephanie Warren, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A15040 Issued in OR

Practice address

18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607

Phone

(971) 253-7294

NPI assigned

Feb 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Firefly Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OR
  • NPI 1326482563
  NPD

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1992561450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18765 SW BOONES FERRY RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628607",
            "telephone_number": "971-253-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18765 SW BOONES FERRY RD STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628607",
            "telephone_number": "971-253-7294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 NE Belknap Ct Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245115",
            "country_code": "US",
            "telephone_number": "503-560-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "STEPHANIE",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A15040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Verdegan Ward, LCSW,CADC III, MAC
• Terri Dawn Ward
• Ryan Wargo, PHARMD, BCACP
• Warm Springs Dental, LLC
• Erin Joy Warren, PNP-AC/PC
• Kelly Jo Washam, MA, CADC II
• Chelsea Washington
• Heather Nicole Weber, DDS
• Sydney Weber, Rbai, RBAI
• Renee Lynne Weichel, DMD

• 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 Nov 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.