Active NPI
Thuy Vanderlinde, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1124599725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1862
- Practice address
- 251 NE 133Rd Ave
Portland, OR 97230-2529 - Phone
- (503) 251-3938
- NPI assigned
- Dec 9, 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 | 1862 | OR | Primary |
Addresses
Primary practice location
251 NE 133Rd Ave
Portland, OR 97230-2529
Mailing address
251 NE 133Rd Ave
Portland, OR 97230-2529
Phone (503) 251-3938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1862 | Other | OR | LCSW |
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 |
|---|---|---|---|
| 1862 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1124599725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 NE 133RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302529",
"telephone_number": "503-251-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 NE 133RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972302529",
"telephone_number": "503-251-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERLINDE",
"first_name": "THUY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-09",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "1862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "1862",
"state": "OR"
}
],
"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 Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.