SPECTRUMS FAMILY SERVICES, LLC (NPI# 1508230707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508230707 |
| Entity Type | Organization |
| Organization Name | SPECTRUMS FAMILY SERVICES, LLC |
| Practice Address |
8196 Sw Hall Blvd Suite 202 Beaverton OR 97008-6409 |
| Practice Telephone | 5035671820 |
| Practice Fax Number | 9712282405 |
| Mailing Telephone | 5035671820 |
| Mailing Fax Number | 9712282405 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MRS. MACI N ELKINS (DIRECTOR/THERAPIST) |
| Authorized Official Telephone | 5035671820 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5764 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500652588 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SPECTRUMS FAMILY SERVICES, LLC | 8196 Sw Hall Blvd Ste 202, Beaverton, OR 97008 |
| Street Address |
8196 SW HALL BLVD SUITE 202 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740306380 | Patricia H. Rogers | Speech-Language Pathologist | 8196 Sw Hall Blvd, #114, Beaverton, OR 97008-6409 | 2007-03-22 |
| 1962718700 | Maria E. Wunderbro | Social Worker | 8196 Sw Hall Blvd, Suite 202, Beaverton, OR 97008-6409 | 2010-08-30 |
| 1093922395 | Denise Marie Aldridge | Massage Therapist | 8196 Sw Hall Blvd, Suite 102, Beaverton, OR 97008-6409 | 2007-05-17 |
| 1881710374 | All About Speech, Inc | Speech-Language Pathologist | 8196 Sw Hall Blvd, #114, Beaverton, OR 97008-6409 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| 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 |
|---|---|---|---|---|
| 1457811887 | Gareth Robert Smith | Social Worker | 14825 Sw Farmington Rd, Beaverton, OR 97007-2724 | 2019-03-21 |
| 1003373101 | Carla E Fadriquela | Social Worker | 2980 Sw 123rd Ave, Beaverton, OR 97005-1325 | 2019-02-25 |
| 1144795477 | Madilyn Long | Social Worker | 4900 Sw Griffith Dr Ste 249, Beaverton, OR 97005-4648 | 2018-10-13 |
| 1689058794 | Susan Driver | Social Worker | 14631 Sw Millikan Way # 8, Beaverton, OR 97003-2999 | 2015-07-17 |
| 1740615848 | Krystal Karin Ashling | Social Worker | 4895 Sw Normandy Pl, 4895 Sw Normandy Place, Beaverton, OR 97005 | 2013-09-08 |
| 1174825350 | Debbie Yoro | Social Worker | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 | 2010-11-22 |
| 1679883383 | Pamela Lynn Mottola | Social Worker | 14255 Sw Brigadoon Court, Beaverton, OR 97005 | 2010-10-15 |
| 1134434061 | Emily Kirsten Haug | Social Worker | 15455 Nw Greenbrier Pkwy Ste 112, Beaverton, OR 97006-8115 | 2010-08-16 |
| 1497994115 | Janice Eaton-bennette | Social Worker | 3900 Sw Murray Blvd Ste 100, Beaverton, OR 97005-2454 | 2009-02-19 |
| 1790922235 | Kelly Lynn Gilmore | Social Worker | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2009-01-20 |
| Find all providers in BEAVERTON | ||||
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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.