Diverge

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DIVERGE

Practice address

555 SE MLK Blvd
Portland, OR 97214-2526

Phone

(503) 780-9243

NPI assigned

Oct 21, 2025

Organization subpart

No

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

Authorized official

Name

Monika K Weitzel, LCSWNPI 1750993051

Title

Founder/Co-Director

Phone

(503) 780-9243

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Monika Weitzel, MSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1750993051
  NPD Authorized official

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1053288431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131399",
            "telephone_number": "503-780-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SE MLK BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142526",
            "telephone_number": "503-780-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FOUNDER/CO-DIRECTOR",
        "authorized_official_telephone_number": "503-780-9243",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Dittrich, LMFT
• Michelle Wai Diu, M.D.
• Andrea Rose Diulio-Nakamura, PHD
• Punag Divanji, M.D.
• Devin Westby Diver
• Matthew Jared Diveronica, M.D.
• Diversified Business Services, Inc
• Divine Residential Treatment Home LLC
• Division Pharmacy Inc.
• Matia Divitt, LMT

• 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 Oct 21, 2025; 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.