Active NPI
Cathleen Nicole Wenberg, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1003399635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4582
- Practice address
- 1839 NE Couch St
Portland, OR 97232 - Phone
- (503) 232-7411
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | L4582 | OR | Primary |
Addresses
Primary practice location
1839 NE Couch St
Portland, OR 97232
Mailing address
1839 NE Couch St
Portland, OR 97232-3054
Phone (503) 232-7411
Other practice location 1
2909 SE 77th Ave
Portland, OR 97206-1720
Phone (503) 260-5432
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4582 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Living Resources | Current | Accepting new patients |
Locations
1839 NE Couch St
Portland, OR 97232
Phone (503) 232-7411
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Portland, OR
- NPI 1154200764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1003399635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 NE COUCH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972323054",
"telephone_number": "503-232-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 NE COUCH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "503-232-7411"
}
],
"practiceLocations": [
{
"address_1": "2909 SE 77th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972061720",
"country_code": "US",
"telephone_number": "503-260-5432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENBERG",
"first_name": "CATHLEEN",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.