Individual provider Active NPI

Maryhelen Clausing, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1528406717
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6567 Issued in OR
Practice address
2076 NW Johnson St Apt 301
Portland, OR 97209-1372
Phone
(503) 880-8837
NPI assigned
Jun 10, 2013
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 L6567 OR Primary

Addresses

Primary practice location

2076 NW Johnson St Apt 301
Portland, OR 97209-1372

Mailing address

2076 NW Johnson St Apt 301
Portland, OR 97209-1372
Phone (503) 880-8837

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
I20251202003103 OR Practitioner - Clinical Social Worker 7416440086 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Portland, OR 97209
Phone (503) 880-8837

PO Box
Suite 9
Tillamook, OR 97141-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6567ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1528406717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 NW JOHNSON ST APT 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091372",
            "telephone_number": "503-880-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NW JOHNSON ST APT 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091372",
            "telephone_number": "503-880-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSING",
        "first_name": "MARYHELEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.