Julie E.Convy Prindle, PH.D., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4036 Issued in OR

Practice address

820 NW 21St Ave Ste B
Portland, OR 97209-1449

Phone

(503) 975-4898

Fax

(503) 233-8905

NPI assigned

Nov 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1356695878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 NW 21ST AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091449",
            "telephone_number": "503-975-4898",
            "fax_number": "503-233-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NW 21ST AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091449",
            "telephone_number": "503-975-4898",
            "fax_number": "503-233-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINDLE",
        "first_name": "JULIE",
        "middle_name": "E.CONVY",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Louise Prince, MD
• Morgan Kathleen Prince, M.D.
• Paula Jean Prince, AGACNP
• Alexander Princehouse, RN
• Rebecca Principe, N.D.
• Janyce Prine
• Laura J Pringle, PHARMD
• Lyndsay Prinz, CRNA
• Donna Prinzmetal, MA., LMFT
• Logan P. Priollaud, 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 Nov 6, 2012; 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.