Ms. Gia Michele Buckberg (NPI# 1609402924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1609402924 |
| Entity Type | Individual |
| Full Name | Ms. Gia Michele Buckberg |
| Credential | LCSW |
| Gender | Female |
| Practice Address |
1722 Nw Raleigh St Spc 418 Portland OR 97209-1754 |
| Practice Telephone | 5032721069 |
| Mailing Address |
2701 Sw Boundary St Portland OR 97239-7101 |
| Mailing Telephone | 5039137826 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Social Worker · Clinical | Behavioral Health & Social Service Providers | L6820 | OR |
| 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 |
|---|---|---|---|---|
| 1083235881 | Krista Renee Nelson | Social Worker | 6207 Ne Broadway, Portland, OR 97213-4713 | 2020-05-03 |
| 1336769694 | Meggan Colleen Mcevoy | Social Worker | 209 Sw 4th Ave Ste 250, Portland, OR 97204-1813 | 2020-04-16 |
| 1013546217 | Jeff Lynn Liddell | Social Worker | 1803 N Simpson St, Portland, OR 97217-4658 | 2020-04-08 |
| 1467080473 | Mary Elizabeth Hanel | Social Worker | 8204 Se 9th Ave, Portland, OR 97202-6534 | 2020-03-27 |
| 1487289922 | Mary Katherine Cook | Social Worker | 190 Lancaster St Ste 310, Portland, ME 04101-2058 | 2020-03-05 |
| 1245864552 | Mark Wallace Honeywell Summit | Social Worker | 637 N Farragut St, Portland, OR 97217-1473 | 2020-02-25 |
| 1922638790 | Raphel Danielle Cousins | Social Worker | 8536 Se Stark St, Portland, OR 97216-1140 | 2020-01-21 |
| 1013557842 | Ericka Kimball | Social Worker | 1800 Sw 6th Ave, Portland, OR 97201-5204 | 2020-01-09 |
| 1285270272 | Katherine Finch | Social Worker | 190 Lancaster St Ste 301, Portland, ME 04101-2056 | 2019-11-25 |
| 1205470978 | Chandra Emery | Social Worker | 921 Sw Washington St Ste 420, Portland, OR 97205-2836 | 2019-11-05 |
| Find all providers in PORTLAND | ||||
| Street Address |
1722 NW RALEIGH ST SPC 418 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| 1699141424 | Marena Passarelli | Counselor | 1977 Nw Overton St Ste D, Portland, OR 97209 | 2015-08-16 |
| 1740684448 | Samantha Black | Counselor | 310 Ne Flanders, Portland, OR 97209 | 2014-10-09 |
| Find all providers in zip 97209 | ||||
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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.