Melissa Kay Mulder-Wright, MSW-LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4761 Issued in OR

Practice address

2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1630

Phone

(503) 413-2901

Fax

(503) 413-4898

NPI assigned

Mar 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Kay Mulder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1023384922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3808",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083808",
            "telephone_number": "503-413-3958",
            "fax_number": "503-413-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "SUITE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271630",
            "telephone_number": "503-413-2901",
            "fax_number": "503-413-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER-WRIGHT",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "MSW-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MULDER",
            "middle_name": "KAY",
            "credential": "MSW-LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mulberry Healing Arts, LLC
• Michelle Ashley Mulcahy- Nicholson
• Peggy Ann Mulcahy, M.D.
• Amy L Mulcaster, DO
• Donald L Mulconrey, PA-C
• Edward Nicholas Mulder, O.D.
• Shala Muldrew
• Camilla Muldrow, CPPD, CD
• Eduardo Mulero, DDS
• Amelia Jane Mulford, CGC

• 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 Apr 2, 2012; 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.