IndividualActive
Julie Wiesner, LCSW
NPI 1639353691 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1639353691
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L5073 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
423 Ne 60th Ave
Portland
Portland, OR 97213-3725
Phone: (360) 624-0800
Street-level locationGet directions
Mailing address
15520 Nw 21st Ave
Vancouver, WA 98685-1251
Registry dates
- Enumerated
- 2007-12-26
- Last updated
- 2021-12-27
- Certified
- 2021-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.