LOTUS TEEGARDEN, LLC
NPI 1679453104
Social Worker - Clinical in Portland, OR

Active since September 04, 2025
1940 NE BROADWAY ST, PORTLAND, OR 97232(971) 415-6344(503) 388-3397 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lotus Teegarden, Llc NPPES

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

LOTUS TEEGARDEN, LLC (NPI 1679453104) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since September 2025. The organization lists Lotus Teegarden, Owner, as its authorized official.

NPPES Registry Identity

NPI1679453104
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLOTUS TEEGARDEN, LLC
Location Address1940 NE BROADWAY STPortland, OR 97232-1502
Mailing Address1940 Ne Broadway StPortland, OR 97232-1502 · (971) 415-6344 · Fax (503) 388-3397
Fax(503) 388-3397
Organization SubpartNo
Authorized OfficialLotus TeegardenOwner · (971) 415-6344
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1679453104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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
1940 NE BROADWAY ST, Portland, OR 97232

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
1940 NE BROADWAY ST
PORTLAND, OR 97232
Social Worker (Clinical)
1940 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
1940 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
1940 NE BROADWAY ST
PORTLAND, OR 97232
Psychologist
1940 NE BROADWAY ST
PORTLAND, OR 97232
Social Worker (Clinical)
1940 NE BROADWAY ST
PORTLAND, OR 97232
Psychologist (Clinical)
1940 NE BROADWAY ST
PORTLAND, OR 97232
Counselor (Mental Health)
1940 NE BROADWAY 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 Lotus Teegarden, LLC's NPI number?

The NPI number for Lotus Teegarden, LLC is 1679453104. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Lotus Teegarden, LLC located?

Lotus Teegarden, LLC is located at 1940 NE Broadway St, Portland, OR 97232. The listed phone number is (971) 415-6344.

What is Lotus Teegarden, 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 Lotus Teegarden, LLC was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.