Talia Marie Thelen Akre, LCSW
Individual provider Active NPI Clinical Social Worker · Gresham, OR
NPI 1205710795 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1205710795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L11889 (OR)
- Practice address
- 320 N Main Ave Ste 201D
Gresham, OR 97030-7242 - Phone
- (917) 455-1883
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L11889 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11889 | OR | Yes |
Addresses
Primary practice location
320 N Main Ave Ste 201D
Gresham, OR 97030-7242
Mailing address
320 N Main Ave Ste 201
Gresham, OR 97030-7242
Phone (917) 455-1883
Other providers in Gresham, OR
- Dastu I Ahmat
- Erica Elizabeth Akbari
- Glen Raymond Akers
- Stacia Akers
- Eric Ikaika Aki
- Nichole N Albelo
- Jeffreys D Albright
- Emily Alderaen
- Lauren M Alderson
- Dmitri Vladislavovich Aleksandrov
All providers in Gresham, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.