1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Social Worker
  6. NPI Profile

EMBODIED LIFE THERAPY CENTER LLC
NPI 1265039564
Social Worker - Clinical in Portland, OR

Active since October 08, 2020
6906 N RICHARDS ST, PORTLAND, OR 97203(971) 336-0338 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Embodied Life Therapy Center Llc NPPES

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

EMBODIED LIFE THERAPY CENTER LLC (NPI 1265039564) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since October 2020. The organization lists Jennifer Dodd, Owner, as its authorized official.

NPPES Registry Identity

NPI1265039564
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEMBODIED LIFE THERAPY CENTER LLC
Location Address6906 N RICHARDS STPortland, OR 97203-6138
Mailing Address6906 N Richards StPortland, OR 97203-6138 · (971) 336-0338
Phone(971) 336-0338
Organization SubpartNo
Authorized OfficialJennifer DoddOwner · (971) 266-1081
Enumeration DateOctober 8, 2020
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1265039564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
6906 N RICHARDS ST, Portland, OR 97203
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JAMIE ANDERSON MT-BC
Music Therapist
6906 N RICHARDS ST
PORTLAND, OR 97203
Multnomah County (971) 336-0338
MIRANDA TAI CAMPBELL ACHARYA LCSW
Social Worker (Clinical)
6906 N RICHARDS ST
PORTLAND, OR 97203
Multnomah County (971) 266-1081

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 Embodied Life Therapy Center LLC's NPI number?

The NPI number for Embodied Life Therapy Center LLC is 1265039564. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Embodied Life Therapy Center LLC located?

Embodied Life Therapy Center LLC is located at 6906 N Richards St, Portland, OR 97203. The listed phone number is (971) 336-0338.

What is Embodied Life Therapy Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Embodied Life Therapy Center LLC was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.