Provider Demographics
NPI:1487012936
Name:SCHOLFIELD, VANESSA A (MSW, QMHP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:A
Last Name:SCHOLFIELD
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14355 SW ALLEN BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-4741
Mailing Address - Country:US
Mailing Address - Phone:503-828-3402
Mailing Address - Fax:503-828-3401
Practice Address - Street 1:14355 SW ALLEN BLVD STE 150
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4741
Practice Address - Country:US
Practice Address - Phone:503-828-3402
Practice Address - Fax:503-828-3401
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORA4350104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500704315Medicaid