Active NPI
Meghan Thivierge, LCSW
- Clinical Social Worker
- Hillsboro, OR
National Provider Identifier
1003143611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5275
- Practice address
- 971 SW Walnut St
Hillsboro, OR 97123-5651 - Phone
- (503) 640-5297
- Fax
- (503) 640-5780
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5275 | OR | Primary |
Addresses
Primary practice location
971 SW Walnut St
Hillsboro, OR 97123-5651
Mailing address
5271 N Amherst St
Portland, OR 97203-5261
Phone (541) 292-4278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5275 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1003143611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5271 N AMHERST ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972035261",
"telephone_number": "541-292-4278",
"fax_number": "541-292-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 SW WALNUT ST",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971235651",
"telephone_number": "503-640-5297",
"fax_number": "503-640-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIVIERGE",
"first_name": "MEGHAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.