MARY EDSON SMITH (NPI# 1891301990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891301990 |
| Entity Type | Individual |
| Full Name | MARY EDSON SMITH |
| Credential | LCSW |
| Practice Address |
1700 Nw Civic Dr Ste 310 Gresham OR 97030-3774 |
| Mailing Address |
1224 Ne 53rd Ave Portland OR 97213-2858 |
| Practice Telephone | 5036668832 |
| Mailing Telephone | 9717164822 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L10327 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1224 Ne 53rd Ave, Portland, OR 972132858 | 9717164822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
1700 NW CIVIC DR STE 310 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609086305 | Curtis Dean Hall | Marriage & Family Therapist | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2007-05-23 |
| 1326656851 | Shantika Green | Counselor | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2020-07-21 |
| 1093229627 | Kristi Lynn O'shea | Behavioral Analyst | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2017-11-17 |
| 1861846099 | Frances Leanne Clark | Counselor | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2016-04-13 |
| 1740605450 | Jaynie Marie Post | Counselor | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2014-03-04 |
| 1497179212 | Western Psychological and Counseling Services PC | Counselor | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2014-02-13 |
| 1336427848 | Emily Schomann | Counselor | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2011-08-01 |
| 1275866626 | Heidi Bermeosolo | Counselor | 1700 Nw Civic Dr Ste 310, Gresham, OR 97030-3774 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1043668262 | Jordana Krueger-toscher, Lcsw, LLC | Social Worker | 320 N Main Ave Ste 201b, Gresham, OR 97030-7242 | 2016-05-27 |
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1063826725 | Jamie Nash-sedda | Social Worker | 2970 Ne 7th St, Gresham, OR 97030-5908 | 2014-06-20 |
| 1336282979 | Pamela Ellen Cline | Social Worker | 831 Nw Council Dr Ste 160, Gresham, OR 97030-3721 | 2007-02-14 |
| 1477641454 | Rachel J Levy | Social Worker | 1700 Nw Civic Drive, Suite 310, Gresham, OR 97201 | 2006-10-11 |
| 1255420162 | Rebecca Lynn Sauer | Social Worker | 1217 Ne Burnside Rd Ste 401 Bldg B, Gresham, OR 97030-5705 | 2006-10-11 |
| 1497791123 | Myron J George | Social Worker | 620 Ne 2nd St, Gresham, OR 97030 | 2006-06-21 |
| 1811978760 | Janet L. Thomson | Social Worker | 1550 Nw Eastman Pkwy, Suite 280, Gresham, OR 97030-3858 | 2005-11-08 |
| 1942764451 | Sharon Rose Ernst | Social Worker | 1217 Ne Burnside Rd Ste 801d, Gresham, OR 97030-5770 | 2019-01-29 |
| 1689159782 | Grace Robinson | Social Worker | 4101 Ne Division St Ste 100, Gresham, OR 97030-4617 | 2018-09-25 |
| Find all providers in GRESHAM | ||||
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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.