Active NPI
Michele Diane Vowell, LCSW, CADC III, MAC
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1427363878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6220
- Practice address
- 1225 NE 2ND Ave
Portland, OR 97232-2003 - Phone
- (503) 944-7102
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11-12-74 | OR | |
| Peer Specialist | 175T00000X | 22-CRM-1403 | OR | |
| Clinical Social Worker | 1041C0700X | L6220 | OR | Primary |
Addresses
Primary practice location
1225 NE 2ND Ave
Portland, OR 97232-2003
Mailing address
1225 NE 2ND Ave
Portland, OR 97232-2003
Phone (503) 944-7102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6220 | OR | MD | Clinical Social Worker |
| 22-CRM-1403 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1427363878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 NE 2ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322003",
"telephone_number": "503-944-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 NE 2ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322003",
"telephone_number": "503-944-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOWELL",
"first_name": "MICHELE",
"middle_name": "DIANE",
"credential": "LCSW, CADC III, MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "11-12-74",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "22-CRM-1403",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.