MS. MARY E. IANNUCCILLO MSW
NPI 1023231982
Social Worker - Clinical in Portland, OR
NPI Status: Active since April 10, 2007
Contact Information
2250 NW FLANDERS ST
SUITE 103
PORTLAND, OR
ZIP 97210
Phone: (503) 796-9242
Fax: (503) 657-8310
- Individual
- Female
- Social Worker
- Clinical
About MARY IANNUCCILLO
This page provides the complete NPI Profile along with additional information for Mary Iannuccillo, a provider established in Portland, Oregon with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1023231982 assigned on April 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 0759 (OR). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1023231982
- Provider Name
- MS. MARY E. IANNUCCILLO MSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2250 NW FLANDERS ST SUITE 103 PORTLAND, OR 97210
- Location Phone
- (503) 796-9242
- Location Fax
- (503) 657-8310
- Mailing Address
- 2250 NW FLANDERS ST SUITE 103 PORTLAND, OR 97210
- Mailing Phone
- (503) 796-9242
- Mailing Fax
- (503) 657-8310
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-10-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical social worker like Mary Iannuccillo is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0759
- License State
- OR
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 2 | 3 | 1 | 9 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 4 | 3 | 2 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 4 + 3 + 2 + 9 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1023231982 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275532384 | DR. BRUNO CRISTALLI DA COSTA DDS Individual | Dentist | 2250 NW FLANDERS ST 112 PORTLAND, OR 97210 (503) 248-1970 |
| 1417949769 | DR. MICHAEL EDWARD DAVIS DMD Individual | Dentist (General Practice) | 2250 NW FLANDERS ST SUITE 212 PORTLAND, OR 97210 (503) 248-1114 |
| 1003898669 | LEE WOLFE SHERSHOW M.D. Individual | Specialist | 2250 NW FLANDERS ST SUITE #300 PORTLAND, OR 97210 (503) 243-1422 |
| 1295796738 | DR. SAMUEL HIGDON D.D.S. Individual | Dentist (General Practice) | 2250 NW FLANDERS ST STE 111 PORTLAND, OR 97210 (503) 227-4844 |
| 1194789198 | DR. LAWRENCE ROBERT HOVEY DMD, MS Individual | Dentist (Periodontics) | 2250 NW FLANDERS ST SUITE #209 PORTLAND, OR 97210 (503) 222-2844 |
| 1063468692 | PSYCHIATRIC CARE PC Organization | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2250 NW FLANDERS ST SUITE 103 PORTLAND, OR 97210 (503) 222-1524 |
| 1245344647 | REBECCA ANNE REISCH PT Individual | Physical Therapist | 2250 NW FLANDERS ST SUITE GARDEN 01 PORTLAND, OR 97210 (503) 224-1947 |
| 1710089826 | DR. GEORGE FREDERICK DRINKA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2250 NW FLANDERS ST SUITE 306 PORTLAND, OR 97210 (503) 226-0558 |
| 1639253958 | ANN ELIZABETH TOPPING P.T. Individual | Physical Therapist | 2250 NW FLANDERS ST SUITE GARDEN 01 PORTLAND, OR 97210 (503) 224-1947 |
| 1275612699 | DR. BETH KAPLAN WESTBROOK PSY.D. Individual | Psychologist (Clinical) | 2250 NW FLANDERS ST SUITE #105 PORTLAND, OR 97210 (503) 222-4031 |
| 1245304336 | DR. JEFFREY DARYL RICE MD Individual | Psychiatry & Neurology (Psychiatry) | 2250 NW FLANDERS ST SUITE 306 PORTLAND, OR 97210 (503) 226-0558 |
| 1659434660 | JULIE E. ROSENBERG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2250 NW FLANDERS ST SUITE 101 PORTLAND, OR 97210 (503) 222-6504 |
| 1992859920 | RICHARD L DIETRICH D.M.D. Individual | Dentist (General Practice) | 2250 NW FLANDERS ST SUITE 109 PORTLAND, OR 97210 (503) 228-6294 |
| 1679619647 | DR. MARCIA FREED MD Individual | Psychiatry & Neurology (Psychiatry) | 2250 NW FLANDERS ST SUITE 306 PORTLAND, OR 97210 (503) 276-1298 |
| 1740320332 | MS. KATE ARCHIBALD DONCHI MS Individual | Marriage & Family Therapist | 2250 NW FLANDERS ST SUITE 105 PORTLAND, OR 97210 (503) 708-1657 |
| 1669590345 | DAVID AVERY TURNER M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2250 NW FLANDERS ST SUITE 306 PORTLAND, OR 97210 (503) 226-0558 |
| 1205022589 | BRIANNE C GROGAN PT Individual | Physical Therapist | 2250 NW FLANDERS ST SUITE GARDEN 01 PORTLAND, OR 97210 (503) 224-1947 |
| 1376714113 | DR. GARY MAC SMITH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2250 NW FLANDERS ST 301 PORTLAND, OR 97210 (503) 226-7775 |
| 1821269663 | MS. MARTA GREENWALD MSW Individual | Social Worker (Clinical) | 2250 NW FLANDERS ST PORTLAND, OR 97210 (503) 226-7775 |
| 1255503652 | GARY M. SMITH, M.D. P.C. Organization | Clinic/Center | 2250 NW FLANDERS ST 301 PORTLAND, OR 97210 (503) 226-7775 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023231982, enumerated in the NPI registry as an "individual" on April 10, 2007
The provider is located at 2250 Nw Flanders St Suite 103 Portland, Or 97210 and the phone number is (503) 796-9242
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on April 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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