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BLKJADE. MENTAL WELLNESS, LLC.
NPI 1285418517
Social Worker - Clinical in Portland, OR

Active since August 18, 2023
2926 NE FLANDERS ST # 3A, PORTLAND, OR 97232(503) 208-8258(503) 328-7780 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2023, Aug 29, 2023, Aug 24, 2023 and 1 more (4 updates tracked since 2023).

About Blkjade. Mental Wellness, Llc. NPPES

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

BLKJADE. MENTAL WELLNESS, LLC. (NPI 1285418517) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since August 2023. The organization lists Roxanne Sheena Capparelli, Owner / Sole Member, as its authorized official.

NPPES Registry Identity

NPI1285418517
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLKJADE. MENTAL WELLNESS, LLC.
Location Address2926 NE FLANDERS ST # 3APortland, OR 97232-3259
Mailing Address3519 Ne 15th Ave # 294Portland, OR 97212-2356 · (503) 208-8258
Phone(503) 208-8258
Fax(503) 328-7780
Organization SubpartNo
Authorized OfficialRoxanne Sheena CapparelliOwner / Sole Member · (503) 208-8258
Enumeration DateAugust 18, 2023
Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1285418517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2926 NE FLANDERS ST # 3A, Portland, OR 97232
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Other Identifiers 2

Medicaid1861893232OR
Medicaid500822543OR

Other Providers at the Same Location NPPES

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

ROXANNE S CAPPARELLI LCSW
Social Worker (Clinical)
2926 NE FLANDERS ST # 3A
PORTLAND, OR 97232
Multnomah County (503) 208-8258

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 Blkjade. Mental Wellness, LLC.'s NPI number?

The NPI number for Blkjade. Mental Wellness, LLC. is 1285418517. It was assigned to this organization in the NPPES registry on August 18, 2023.

Where is Blkjade. Mental Wellness, LLC. located?

Blkjade. Mental Wellness, LLC. is located at 2926 NE Flanders St # 3A, Portland, OR 97232. The listed phone number is (503) 208-8258.

What is Blkjade. Mental Wellness, 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 Blkjade. Mental Wellness, LLC. was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.