ANDRE B PRUITT (NPI# 1205988532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205988532 |
| Entity Type | Individual |
| Full Name | ANDRE B PRUITT |
| Credential | MSW |
| Practice Address |
426 Sw Stark St 8th Floor Portland OR 97204-2347 |
| Mailing Address |
6926 Ne 22nd Ave 8th Floor Portland OR 97211-5245 |
| Practice Telephone | 5039883674 |
| Practice Fax Number | 5039883676 |
| Mailing Telephone | 5038601213 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3529 | OR | Behavioral Health & Social Service Providers |
| Street Address |
426 SW STARK ST 8TH FLOOR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730158890 | Debby Parrish | Pharmacist | 426 Sw Stark St, 4th Floor, Portland, OR 97204-2347 | 2006-03-14 |
| 1619323102 | Ebony Klinger | Dental Hygienist | 426 Sw Stark St, 9th Floor, Portland, OR 97204-2303 | 2016-05-13 |
| 1255720181 | Aviel Forster | Social Worker | 426 Sw Stark St, 5th Floor, Portland, OR 97204-2303 | 2015-01-15 |
| 1518233766 | Thomas Lucien Jeanne | Preventive Medicine | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2303 | 2012-03-31 |
| 1174813083 | Julie Lueker | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-12 |
| 1326338674 | Kathrine Segnitz | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-07 |
| 1073802559 | Teresa Blanshine | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| 1548559107 | Mary Linn | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| 1861781346 | Tuyet-anh Ann Tran | Registered Nurse | 426 Sw Stark St, Ste. 210, Portland, OR 97204-2347 | 2011-04-05 |
| 1124317649 | Jennifer Tujo | Registered Nurse | 426 Sw Stark St, 3rd Floor, Portland, OR 97204-2347 | 2011-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.