Gwen Welch, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4178 Issued in OR

Practice address

604 Charman St
Oregon City, OR 97045-3018

Phone

(503) 877-8218

Fax

(503) 389-7945

NPI assigned

Feb 19, 2007

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

Other identifiers 2

Other names 1

• Ms. Gwen Slaff-Welch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acg Group

  • Clinic/Center
  • Portland, OR
  • NPI 1760076392
  NPD
• The Healing Haven LLC

  • Clinical Social Worker
  • Oregon City, OR
  • NPI 1386100501
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1164566212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CHARMAN ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453018",
            "telephone_number": "503-877-8218",
            "fax_number": "503-389-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CHARMAN ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453018",
            "telephone_number": "503-877-8218",
            "fax_number": "503-389-7945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1698 Liberty St SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024348",
            "country_code": "US",
            "telephone_number": "503-877-8218",
            "fax_number": "503-389-7945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "GWEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P07539",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50069742",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "SLAFF-WELCH",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tien Ahn Wee, MD
• Catherine Elizabeth Weiland
• Danielle Cecile Weinstein, FNP-C
• Jana Weiss
• Kenneth Weizer, N.D.
• Nichole Jantette Wellman
• Wellness Bound Mental Health LLC
• Kim A Wennhold, MD
• Jonathan Weseloh
• West Wellness LLC

• Clinical Social Worker in Oregon City, OR
• Providers in Oregon City, 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 Feb 12, 2019; 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.