1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Social Worker
  6. NPI Profile

CEMENTED ROSE THERAPEUTICS, LLC
NPI 1699205773
Social Worker - Clinical in Portland, OR

Active since June 12, 2017
4110 NE 122ND AVE STE 115, PORTLAND, OR 97230(971) 227-3553 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 6, 2023, May 17, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Cemented Rose Therapeutics, Llc NPPES

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

CEMENTED ROSE THERAPEUTICS, LLC (NPI 1699205773) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since June 2017. The organization lists Sharnissa T Secrett, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1699205773
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCEMENTED ROSE THERAPEUTICS, LLC
Location Address4110 NE 122ND AVE STE 115Portland, OR 97230-1384
Mailing Address4110 Ne 122nd Ave Ste 115Portland, OR 97230-1384 · (971) 227-3553
Phone(971) 227-3553
Organization SubpartNo
Authorized OfficialSharnissa T SecrettBehavioral Health Director · (971) 227-3553
Enumeration DateJune 12, 2017
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1699205773 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 · L6941
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.
4110 NE 122ND AVE STE 115, Portland, OR 97230
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 4

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

MARKIE NICOLE ARMSTRONG
Social Worker
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (503) 490-0405
MS. SHARNISSA SECRETT LCSW
Social Worker (Clinical)
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (503) 756-3997
PRIYA SRIKANTH
Counselor
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (971) 227-3553
JULIA KOHN-BROWN
Social Worker
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (971) 319-5059

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 Cemented Rose Therapeutics, LLC's NPI number?

The NPI number for Cemented Rose Therapeutics, LLC is 1699205773. It was assigned to this organization in the NPPES registry on June 12, 2017.

Where is Cemented Rose Therapeutics, LLC located?

Cemented Rose Therapeutics, LLC is located at 4110 NE 122nd Ave Ste 115, Portland, OR 97230. The listed phone number is (971) 227-3553.

What is Cemented Rose Therapeutics, LLC's specialty?

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

What insurance does Cemented Rose Therapeutics, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Cemented Rose Therapeutics, LLC 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 Cemented Rose Therapeutics, LLC was last updated on September 6, 2023. 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.