Laurel Gail Mansoor, LCSW, CADC1

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4502 Issued in OR

Practice address

621 SW Alder St Ste 520
Portland, OR 97205-3620

Phone

(503) 494-4745

Fax

(503) 494-4747

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Lori G Mansoor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1356482780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW ALDER ST STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053620",
            "telephone_number": "503-494-4745",
            "fax_number": "503-494-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW ALDER ST STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053620",
            "telephone_number": "503-494-4745",
            "fax_number": "503-494-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOOR",
        "first_name": "LAUREL",
        "middle_name": "GAIL",
        "name_prefix": "Miss",
        "credential": "LCSW, CADC1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4502",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "10-09-34",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MANSOOR",
            "middle_name": "G",
            "prefix": "MISS",
            "credential": "LCSW, CADC1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin Doucette Manson, PHARMD
• Thomas S. Manson, MD
• Abdul Hai Mansoor, MD
• Andre Martin Mansoor, MD
• Atiya Mansoor, MD
• Mariam Mansoor
• Steven Elias Mansoor, M.D., PH.D.
• Katie Mansour, FNP
• Sydney A Mansour, DMD
• Timothy W. Mansour, 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 Oct 22, 2015; 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.