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IMMA ROYAL CSWA
NPI 1134588361
Social Worker - Clinical in Gresham, OR

Active since February 16, 2016PECOS Enrolled
1700 NW CIVIC DR STE 310, GRESHAM, OR 97030(503) 666-8832 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2026, Oct 8, 2023, Feb 16, 2016 (3 updates tracked since 2016).

About Imma Royal Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMA ROYAL CSWA (NPI 1134588361) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (A11644) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134588361
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIMMA ROYALCredential: CSWA
Location Address1700 NW CIVIC DR STE 310Gresham, OR 97030-3774
Mailing Address1700 Nw Civic Dr Ste 310Gresham, OR 97030-3774 · (503) 666-8832
Phone(503) 666-8832
Sole ProprietorNo
Enumeration DateFebruary 16, 2016
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1134588361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · A11644
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, 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.
1700 NW CIVIC DR STE 310, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imma Royal Cswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA TRUJILLO LCSW
Social Worker (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
LINDSEY ROMO LCSW
Social Worker (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
COLETTE DELEON LCSW
Social Worker (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
JAMES PATRICK BOSSMANN M.D.
Psychiatry & Neurology (Psychiatry)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
CLAIRE TOLLES PSYD RESIDENT
Psychologist (Clinical)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
HEIDI BERMEOSOLO LPC
Counselor (Mental Health)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
COURTNEY MONIQUE JESSIE LPC
Counselor (Professional)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8832
SHANTIKA GREEN LCSW
Counselor (Mental Health)
1700 NW CIVIC DR STE 310
GRESHAM, OR 97030
Multnomah County (503) 666-8835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imma Royal's NPI number?

The NPI number for Imma Royal is 1134588361. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Imma Royal located?

Imma Royal practices at 1700 NW Civic Dr Ste 310, Gresham, OR 97030. The listed phone number is (503) 666-8832.

What is Imma Royal's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Imma Royal enrolled in Medicare?

Yes. Imma Royal is registered in the Medicare PECOS enrollment system.

What insurance does Imma Royal accept?

Health plans from Moda Health Plan, Inc. list Imma Royal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Imma Royal was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.