MR. ROLANDO VAZQUEZ MSW,LCSW
NPI 1669535399
Social Worker - Clinical in Portland, OR

Active since December 16, 2006PECOS EnrolledAccepts Medicare Assignment
12636 SE STARK ST BLDG J, PORTLAND, OR 97233(319) 321-2115(503) 253-4609 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2021, Jun 15, 2021 (2 updates tracked since 2021).

About Mr. Rolando Vazquez Msw,lcsw NPPES

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

MR. ROLANDO VAZQUEZ MSW,LCSW (NPI 1669535399) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L8488) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1669535399
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ROLANDO VAZQUEZCredential: MSW,LCSW
Location Address12636 SE STARK ST BLDG JPortland, OR 97233-1058
Mailing Address12636 Se Stark St Bldg JPortland, OR 97233-1058 · (319) 321-2115 · Fax (503) 253-4609
Fax(503) 253-4609
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 16, 2006
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1669535399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L8488
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.
12636 SE STARK ST BLDG J, Portland, OR 97233

Other Identifiers 1

OtherL8488OR · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Rolando Vazquez Msw,lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214358050
PECOS Enrollment IDI20250306002200
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Psychiatry & Neurology (Psychiatry)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Mental Health)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233
Counselor (Professional)
12636 SE STARK ST BLDG J
PORTLAND, OR 97233

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 Rolando Vazquez's NPI number?

The NPI number for Rolando Vazquez is 1669535399. It was assigned to this individual provider in the NPPES registry on December 16, 2006.

Where is Rolando Vazquez located?

Rolando Vazquez practices at 12636 SE Stark St Bldg J, Portland, OR 97233. The listed phone number is (319) 321-2115.

What is Rolando Vazquez's specialty?

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

Is Rolando Vazquez enrolled in Medicare?

Yes. Rolando Vazquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rolando Vazquez accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Rolando Vazquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rolando Vazquez was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.