Provider Demographics
NPI:1750718425
Name:SECHRIST, NAOMI RUTH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:RUTH
Last Name:SECHRIST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NAOMI
Other - Middle Name:RUTH
Other - Last Name:KEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 SE 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-1451
Mailing Address - Country:US
Mailing Address - Phone:503-730-0526
Mailing Address - Fax:
Practice Address - Street 1:5932 NE GLISAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-3754
Practice Address - Country:US
Practice Address - Phone:503-974-1696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL83881041C0700X
101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health