Gwenn Cody, LCSW, PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

2018 Issued in OR

Legal business name

GWENN CODY, LCSW, PC

Practice address

819 SE Morrison St Ste 250
819 SE Morrison St Ste 250
Portland, OR 97214-6315

Phone

(503) 230-0518

Fax

(503) 200-1438

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Gwenn Cody-Wald, LCSWNPI 1467616763

Title

President

Phone

(503) 230-0518

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwenn Tiana Cody-Wald, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1467616763
  NPD (past) Authorized official

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1215228150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 250",
            "address_2": "819 SE MORRISON ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146315",
            "telephone_number": "503-230-0518",
            "fax_number": "503-200-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 250",
            "address_2": "819 SE MORRISON ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146315",
            "telephone_number": "503-230-0518",
            "fax_number": "503-200-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENN CODY, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "CODY-WALD",
        "authorized_official_first_name": "GWENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-230-0518",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Guzman, CSWA
• Jovan M Gvozden, DMD
• Tuyet Lam Gwardys, NP
• Amy Burke Gwartney, LMT #20514
• Shannon Marie Gwartney, NP
• Sharon Wardy Gwilliam, RDH
• Suzanne Jane Gwilliam, MD
• Diana Elizabeth Gwinn, DD1
• Vinnie Gwozdz, LPC, CRC
• Fay A Gyapong, DMD

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.