Wilson Family Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILSON FAMILY SERVICES LLC

Practice address

1306 NE 2ND Ave
Portland, OR 97232-1117

Phone

(971) 279-7439

NPI assigned

Aug 6, 2022

Organization subpart

No

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

Authorized official

Name

Timisha K Wilson, LCSWNPI 1932687233

Title

Owner

Phone

(503) 701-5534

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timisha K Wilson, MSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1932687233
  NPD Authorized official

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1043947203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 NE HALSEY ST STE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205670",
            "telephone_number": "971-279-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321117",
            "telephone_number": "971-279-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 NE Halsey St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972205670",
            "country_code": "US",
            "telephone_number": "971-279-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILSON FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIMISHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-701-5534",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Wilmart
• Brenda L Wilmarth, L.C.S.W.
• Vincent P Wilmarth, RPH
• Susan Marie Wilmoth, L. AC.
• Wilshire Surgery Center, LLC
• Corrine Wilson-Baurick, LPC
• Kirstie Lauren Wilson-Panum, M.D.
• R. Nathaniel Wilson-Traisman
• Addison R Wilson, M.D.
• Alana Marie Wilson, MSN, FNP-C

• 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 1, 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.

Verify at the official NPI Registry.