Konrad Von Walther LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6961 Issued in OR

Legal business name

KONRAD VON WALTHER LCSW LLC

Practice address

443 NE Knott St
Portland, OR 97212-3108

Phone

(971) 645-9810

NPI assigned

Mar 14, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Konrad A Von Walther, LCSWNPI 1356606537

Title

Owner

Phone

(503) 985-9640

Specialties & licenses 2

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.

• Konrad A Von Walther, MSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1356606537
  Authorized official Same address or phone

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1255872032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97212",
            "telephone_number": "503-985-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NE KNOTT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123108",
            "telephone_number": "971-645-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONRAD VON WALTHER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "VON WALTHER",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-985-9640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "16-02-15",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "6961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Konkol, M.D. PHD
• Camille Konneker
• Janice Konno Scarbrough
• Earl Miyuki Kono
• Joan Di Brogrozcio Kono, RN CNS
• Konstructive Solutions LLC
• John Jah-Hyun Koo, MD
• Orion Lambert Kooistra, DPT
• Kevin J Koomalsingh, MD
• David C Koon, M.D.

• 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 Mar 16, 2017; 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.