MS. TERRY COLEEN MCCALL ELLIS (NPI# 1992844096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992844096 |
Entity Type | Individual |
Full Name | MS. TERRY COLEEN MCCALL ELLIS |
Credential | LCSW |
Practice Address |
14355 Sw Allen Blvd Ste 150 Beaverton OR 97005-4741 |
Practice Telephone | 9713443844 |
Mailing Telephone | (971) 344-3844 |
Enumeration Date | 2007-02-05 |
Last Update Date | 2017-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | L4228 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500641470 | 05 |
Street Address |
14355 SW ALLEN BLVD STE 150 |
City | BEAVERTON |
State | OR |
Zip Code | 97005-4741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679049837 | Amber Shih | Social Worker | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2018-10-15 |
1396223756 | Bridget Keller | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2018-07-29 |
1063902153 | Anne Louise Pippert | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2018-05-14 |
1588152003 | Jamie Hanh Le | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2018-04-30 |
1588161780 | Vincent Wallulatum | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2018-04-12 |
1134629868 | Rosanne L Melzo Monteverdi | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2018-02-19 |
1336677988 | Wolf Pack Consulting and Therapeutic Services LLC | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2017-05-26 |
1487012936 | Vanessa A Scholfield | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2016-01-28 |
1295011096 | Karissa Michelle Holmes | Counselor | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 | 2011-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
Find all providers in zip 97005 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831684109 | Cory Correia | Social Worker | 1908 Sw 144th Ave, Beaverton, OR 97005-2356 | 2018-06-28 |
1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
1467822395 | Parisa Mazhar | Social Worker | 9902 Sw Conestoga Dr, #173, Beaverton, OR 97008-8403 | 2015-10-05 |
1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
1841610672 | Benjamin Joel Crockett | Social Worker | 11184 Sw Bel Aire Ln, Beaverton, OR 97008-5918 | 2014-04-19 |
1063705952 | Mattie Sian Bailey | Social Worker | 10120 Sw Cynthia St, Beaverton, OR 97008-6078 | 2011-05-25 |
1598060279 | Theodore Adams | Social Worker | 1841 Sw Merlo Dr, Beaverton, OR 97003-5013 | 2011-01-11 |
1619098316 | Jin Ah Renee Kim | Social Worker | 12655 Sw Center St, Suite # 470, Beaverton, OR 97005-1600 | 2007-04-02 |
1326021932 | Lynne Phillips Werbel | Social Worker | 16110 Sw Regatta Ln, Beaverton, OR 97006-8942 | 2005-11-29 |
1144854696 | Haya Abdualwahab Alismail | Social Worker | 3800 Sw Cedar Hills Blvd Ste 288, Beaverton, OR 97005-2035 | 2020-02-24 |
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.