Marlen Shirley Conrad, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1693 Issued in OR

Practice address

1962 NW Kearney St
Suite 205
Portland, OR 97209-1400

Phone

(503) 650-7240

Fax

(503) 331-7196

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003922741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 NE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115131",
            "telephone_number": "503-335-0279",
            "fax_number": "503-331-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 NW KEARNEY ST",
            "address_2": "SUITE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091400",
            "telephone_number": "503-650-7240",
            "fax_number": "503-331-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "MARLEN",
        "middle_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Connors
• Tyler N Connors
• James A Conour, MD
• Nina Conover, RN
• Claire McCord Conrad, MD
• Maryann Conrad, MD
• Melinda Lee Herbaugh Conrad, MA PCA
• Nicole Marie Conrad, M.D.
• Shannon Conrad, L.AC
• Suki Katheryn Conrad, MD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.