Lauren Beth Dahl, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2716 Issued in OR

Practice address

3000 NE Stucki Ave Ste 230H
Hillsboro, OR 97124-7107

Phone

(503) 352-7806

Fax

(503) 690-0678

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Lauren Beth Penn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 20, 2023 through Dec 20, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1407916364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NE STUCKI AVE STE 230H",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247107",
            "telephone_number": "503-352-7806",
            "fax_number": "503-690-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE STUCKI AVE STE 230H",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247107",
            "telephone_number": "503-352-7806",
            "fax_number": "503-690-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "LAUREN",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PENN",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stuart J Currie, M.D.
• Samantha Joyce Curtis
• Derrick Eugene Custino, M.D.
• Sarah Catherine D'Ambrosio, ANP-BC, WHNP-BC
• Ethan Ray Canlas Dado, DPT
• Nanette Elaine Dudley Dahlquist, M.D.
• Laura Elizabeth Daily
• Juhi Milind Dalal
• Anna Dale, LMT
• Marta Dale

• Clinical Social Worker in Hillsboro, OR
• Providers in Hillsboro, 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 Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.