PORTLAND TRAUMA AND DISSOCIATION SPECIALISTS LLC
NPI 1619854148
Social Worker - Clinical in Portland, OR

Active since August 18, 2025
1831 SE 7TH AVE, PORTLAND, OR 97214(971) 895-1751 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portland Trauma And Dissociation Specialists Llc NPPES

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

PORTLAND TRAUMA AND DISSOCIATION SPECIALISTS LLC (NPI 1619854148) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since August 2025. The organization lists Heather Lynn Lafontaine, Co-owner/provider, as its authorized official.

NPPES Registry Identity

NPI1619854148
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePORTLAND TRAUMA AND DISSOCIATION SPECIALISTS LLC
Location Address1831 SE 7TH AVEPortland, OR 97214-3578
Mailing AddressPo Box 14701Portland, OR 97293-0701 · (971) 895-1751
Organization SubpartNo
Authorized OfficialHeather Lynn LafontaineCo-owner/provider · (971) 895-1751
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1619854148 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.
1831 SE 7TH AVE, Portland, OR 97214

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 9

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

Massage Therapist
1831 SE 7TH AVE, SUITE 201
PORTLAND, OR 97214
Massage Therapist
1831 SE 7TH AVE, STE. 204
PORTLAND, OR 97214
Social Worker (Clinical)
1831 SE 7TH AVE
PORTLAND, OR 97214
Massage Therapist
1831 SE 7TH AVE
PORTLAND, OR 97214
Massage Therapist
1831 SE 7TH AVE, STE. 204
PORTLAND, OR 97214
Social Worker (Clinical)
1831 SE 7TH AVE
PORTLAND, OR 97214
Massage Therapist
1831 SE 7TH AVE, SUITE 204
PORTLAND, OR 97214
Massage Therapist
1831 SE 7TH AVE, #201
PORTLAND, OR 97214

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 Portland Trauma And Dissociation Specialists LLC's NPI number?

The NPI number for Portland Trauma And Dissociation Specialists LLC is 1619854148. It was assigned to this organization in the NPPES registry on August 18, 2025.

Where is Portland Trauma And Dissociation Specialists LLC located?

Portland Trauma And Dissociation Specialists LLC is located at 1831 SE 7th Ave, Portland, OR 97214. The listed phone number is (971) 895-1751.

What is Portland Trauma And Dissociation Specialists 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 Portland Trauma And Dissociation Specialists LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.