Individual provider Active NPI

Veronica Shiu Knight, MED MSW LCSW LICSW

  • Social Worker
  • Portland, OR
National Provider Identifier
1417572033
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
111 SW Harrison St Apt 14a
Portland, OR 97201-5382
Phone
(503) 447-6398
Fax
(833) 806-8878
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

111 SW Harrison St Apt 14a
Portland, OR 97201-5382

Mailing address

PO Box 1682
Portland, OR 97207-1682
Phone (503) 447-6398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240323000455 OR Practitioner - Clinical Social Worker 9739526930 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 SW Harrison St
Apt 14a
Portland, OR 97201-5382
Phone (503) 447-6398

111 SW Harrison St Apt
14A
Portland, OR 97201-5382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1417572033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1682",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071682",
            "telephone_number": "503-447-6398",
            "fax_number": "833-806-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW HARRISON ST APT 14A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015382",
            "telephone_number": "503-447-6398",
            "fax_number": "833-806-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "VERONICA",
        "middle_name": "SHIU",
        "credential": "MED  MSW LCSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.