COLLIN WHITE-PEDEAUX
NPI 1508206996
Social Worker - Clinical in Portland, OR

Active since June 28, 2013
1825 NE GLISAN ST, PORTLAND, OR 97232(503) 963-7676(503) 764-9042 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Collin White-pedeaux NPPES

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

COLLIN WHITE-PEDEAUX (NPI 1508206996) is an individual clinical provider in Portland, Oregon and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1508206996
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCOLLIN WHITE-PEDEAUX
Location Address1825 NE GLISAN STPortland, OR 97232-2844
Mailing Address4101 Ne Division St, 100Gresham, OR 97030-4617 · (503) 666-3808 · Fax (503) 666-6835
Fax(503) 764-9042
Sole ProprietorNo
Enumeration DateJune 28, 2013
Last NPPES UpdateJanuary 22, 2020
NPI 1508206996 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1825 NE GLISAN ST, Portland, OR 97232

Other Identifiers 1

Medicaid274147OR

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.

Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Social Worker (Clinical)
1825 NE GLISAN ST
PORTLAND, OR 97232
Social Worker (Clinical)
1825 NE GLISAN ST
PORTLAND, OR 97232
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Community Health Worker
1825 NE GLISAN ST
PORTLAND, OR 97232
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Case Manager/Care Coordinator
1825 NE GLISAN ST
PORTLAND, OR 97232
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232

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 Collin White-pedeaux's NPI number?

The NPI number for Collin White-pedeaux is 1508206996. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Collin White-pedeaux located?

Collin White-pedeaux practices at 1825 NE Glisan St, Portland, OR 97232. The listed phone number is (503) 963-7676.

What is Collin White-pedeaux'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 Collin White-pedeaux was last updated on January 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.