ACACIA MARIE BRAVO CSWA/QMHP-R
NPI 1467931527
Social Worker in Portland, OR

Q: What is Acacia Bravo's NPI number?

The NPI number for Acacia Bravo is 1467931527. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Q: What is Acacia Bravo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Acacia Bravo was last updated on April 22, 2024. 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.

Active since August 09, 2018

12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 22, 2024, Aug 25, 2023, Jul 21, 2023 and 1 more (4 updates tracked since 2018).

On this page

About Acacia Marie Bravo Cswa/qmhp-r NPPES

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

ACACIA MARIE BRAVO CSWA/QMHP-R (NPI 1467931527) is an individual social worker in Portland, Oregon, licensed in Oregon (A14480) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1467931527

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameACACIA MARIE BRAVOCredential: CSWA/QMHP-R

Location Address12360 E BURNSIDE STPortland, OR 97233-1042

Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235

Phone(971) 279-4800

Fax(971) 279-2051

Sole ProprietorNo

Enumeration DateAugust 9, 2018

Last NPPES UpdateApril 22, 20244 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1467931527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OR · A14480

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23-QMHP-R-2224 (OR)

12360 E BURNSIDE ST, Portland, OR 97233

Open in Google Maps ↗

Other Identifiers 1

Medicaid500823659OR

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.

ANGEL T HIRSCH PCA/QMHP-C

Counselor