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NPI 1053288431 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1053288431
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Monika Weitzel, Founder/Co-Director(503) 780-9243
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
Practice location
555 Se Mlk Blvd
Portland, OR 97214-2526
Phone: (503) 780-9243
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Ne 42nd Ave
Portland, OR 97213-1399
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.