Amy Leann Pfunder, MSW, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3500 Issued in OR

Practice address

17070 SE Pine Cone LN
Milwaukie, OR 97267-5609

Phone

(503) 806-7781

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1447425699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 SE PINE CONE LN",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675609",
            "telephone_number": "503-806-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 SE PINE CONE LN",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675609",
            "telephone_number": "503-806-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFUNDER",
        "first_name": "AMY",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3500",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Peters, RPH
• Barbara Ann Peterson, MS CCCSLP
• Stephanie Joyce Peterson, PTA
• Lindsey Petrie, LPC
• Nikobi Petronelli
• Rebecca Pham, PHARMD, RPH
• Philip J. Korten O.D.
• Cybele Whitney Phillips, LAC
• Marcy Jean Phillips, OTR/L
• Marissa Kayann Phillips

• Clinical Social Worker in Milwaukie, OR
• Providers in Milwaukie, 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 Apr 29, 2008; 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.