LIFEWORKS NORTHWEST (NPI# 1336516392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336516392 |
| Entity Type | Organization |
| Organization Name | LIFEWORKS NORTHWEST |
| Practice Address |
4941 Ne 17th Ave Portland OR 97211-5709 |
| Mailing Address |
4838 Ne 29th Ave Portland OR 97211-6359 |
| Practice Telephone | 5036453581 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | MISS BONNIE RENEE JOHNSON (CERTIFIED RECOVERY MENTOR) |
| Authorized Official Telephone | 5032823296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295043982 | Lifeworks Northwest | Custodial Care Facility | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2010-09-16 |
| 1689812166 | Lifeworks Northwest | Community/Behavioral Health | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2009-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIFEWORKS NORTHWEST | 14600 Nw Cornell Rd, Portland, OR 97229-5442 |
| Oregon Corporations, Companies and Business Names | LIFEWORKS NORTHWEST | 14600 Nw Cornell Rd, Portland, OR 97229 |
| Street Address |
4941 NE 17TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-5709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639475684 | Sabina Gay Trammell | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2011-02-08 |
| 1619518438 | Dikeeshea Witherspoon | Community Health Worker | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2019-10-02 |
| 1356895320 | Holly Lawry | Case Manager/Care Coordinator | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2016-08-08 |
| 1821441130 | Roxanne Davis | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2016-07-21 |
| 1508232786 | Chelsea Mier | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2015-08-11 |
| 1205225315 | Marissa Ekilah | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2015-01-13 |
| 1952707572 | Benjamin Patrick Thompson | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2014-11-10 |
| 1124427166 | Tesfaye Denbi | Counselor | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2014-08-15 |
| 1356750533 | Angelisa Thompson | Social Worker | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2014-08-12 |
| 1487088092 | Lurlene Nafizah Shamsud-din | Marriage & Family Therapist | 4941 Ne 17th Ave, Portland, OR 97211-5709 | 2013-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1568901908 | Usa Family Well Being Services LLC | Case Management | 500 Forest Ave Ste 6, Portland, ME 04101-1520 | 2017-02-17 |
| 1568900108 | New England Integrated Living Support | Case Management | 228 Sherwood St, 2, Portland, ME 04103-5026 | 2017-02-02 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1407206287 | Preble Street | Case Management | 38 Preble St, Portland, ME 04101-4952 | 2016-06-13 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1619333846 | Maine Pretrial Services, Inc. | Case Management | 175 Lancaster St Ste 305, Portland, ME 04101-2451 | 2016-01-04 |
| 1558744862 | Innerlight Healing Arts | Case Management | 3128 Se 45th Ave, Portland, OR 97206-2205 | 2015-07-06 |
| 1396128765 | Maine State Interpreters | Case Management | 237 Oxford St Ste 26c, Portland, ME 04101-3190 | 2015-07-03 |
| 1205228590 | Pine Tree Commuinty Services, LLC | Case Management | 171 Warren Ave, Portland, ME 04103-1103 | 2015-02-24 |
| 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.