Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Cheri Suzzette Havlena, A12950

Individual provider Social Worker · NPI 1558541060

MS. Cheri Suzzette Havlena, A12950 is a Clinical Social Worker in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Licensed in
OR, WA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2705 E Burnside St Ste 206
Portland, OR 97214-1768
Phone: (503) 320-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1014 Main Street, Vancouver, WA 98660 — (360) 695-1014

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence A12950 (OR)
Social Worker Taxonomy 104100000X · Licence CG60497290 (WA)

Record details

NPI number1558541060
Entity typeIndividual (Type 1)
GenderFemale
Credentials A12950
Sole proprietorYes
NPI enumeratedNovember 13, 2007
Last updated in NPPESJuly 24, 2022
Certification dateJuly 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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