Individual provider Active NPI

Fiona Miu Chen, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1437580982
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6817 Issued in OR
Practice address
9450 SW Barnes Rd
Suite 200
Portland, OR 97225
Phone
(503) 216-2454
Fax
(503) 216-5529
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L6817 OR Primary

Addresses

Primary practice location

9450 SW Barnes Rd
Suite 200
Portland, OR 97225

Mailing address

9450 SW Barnes Rd
Suite 200
Portland, OR 97225-6619
Phone (503) 216-2454

Other practice location 1

12555 SW 1st St
Beaverton, OR 97005-0546
Phone (971) 325-2625

Other names 1

  • Fiona Miu Other name

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

LicenseStateTypeSpecialty
L6817ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Serenity LLC Clinical Current Accepting new patients

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 560
Beaverton, OR 97005
Phone (503) 230-7007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1437580982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW BARNES RD",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256619",
            "telephone_number": "503-216-2454",
            "fax_number": "503-216-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 SW BARNES RD",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-216-2454",
            "fax_number": "503-216-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12555 SW 1st St",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970050546",
            "country_code": "US",
            "telephone_number": "971-325-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "FIONA",
        "middle_name": "MIU",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIONA",
            "last_name": "MIU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 7, 2018; 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.