Lisa Ellen Lewi Cavallo in Portland - Clinical
Lisa Ellen Lewi Cavallo - NPI 1033253281
Lisa Ellen Lewi Cavallo is a Clinical in Portland, Oregon. Lisa Ellen Lewi Cavallo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Ellen Lewi Cavallo is 1033253281. The last update date is 2007-07-08.
Lisa Ellen Lewi Cavallo's current location address is 6221 Ne Fremont St, Portland, Oregon. You can contact this provider via phone number 5035771385 and fax number 5037724776. The mailing address for Lisa Ellen Lewi Cavallo is 6221 Ne Fremont St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ellen Lewi Cavallo |
|---|---|
| Address | 6221 Ne Fremont St, Portland, Oregon |
| Phone Number | 5035771385 |
| Fax Number | 5037724776 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1033253281 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6221 Ne Fremont St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972134437 |
| Phone Number | 5035771385 |
| Fax Number | 5037724776 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1814 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1814 | OR | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Ellen Lewi Cavallo by the Centers for Medicare & Medicaid Services?
The Lisa Ellen Lewi Cavallo has been assigned the NPI (National Provider Identifier) 1033253281 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Lisa Ellen Lewi Cavallo?
The Lisa Ellen Lewi Cavallo is situated at 6221 Ne Fremont St, in the city of Portland, state of OR, with the zip code 972134437.
What is the Lisa Ellen Lewi Cavallo's specialty and taxonomy code?
The Lisa Ellen Lewi Cavallo's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Lisa Ellen Lewi Cavallo receive the assignment of its 1033253281 from the Centers for Medicare & Medicaid Services?
The Lisa Ellen Lewi Cavallo was issued its 1033253281 by the Centers for Medicare & Medicaid Services on 2007-02-19.
As of what date was the information pertaining to Lisa Ellen Lewi Cavallo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa Ellen Lewi Cavallo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.