Gwenn Tiana Cody-Wald, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2018 Issued in OR

Practice address

819 SE Morrison St Ste 250
Portland, OR 97214-6315

Phone

(503) 230-0518

NPI assigned

Jul 15, 2008

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

• Gwenn Cody Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gwenn Cody, LCSW, PC

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1215228150
  NPD (past) Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1467616763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146315",
            "telephone_number": "503-230-0518",
            "fax_number": "503-200-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SE MORRISON ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972146315",
            "telephone_number": "503-230-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY-WALD",
        "first_name": "GWENN",
        "middle_name": "TIANA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWENN",
            "last_name": "CODY",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah J Coderre, L.M.T.
• Dan P. Codiga
• Priscilla Kim Codiga, M.D
• Martin John Codino, D.C.
• Tristan Codrescu, L.AC.
• Taylor Danielle Coe-Eisenberg, PHARMD
• Lorie Mae Coe, RN
• Ryan Coe, MD
• Victoria Coe, MA
• Cassandra Nicole Coetzee, MBBS

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 26, 2011; 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.