Christopher Jan Verschuyl, MSW, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSWA #A1988 Issued in OR

Practice address

2410 SE 121St Ave
Suite 216
Portland, OR 97216-4066

Phone

(503) 335-5975

Fax

(503) 335-5974

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558496299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SE 121ST AVE",
            "address_2": "SUITE 216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972164066",
            "telephone_number": "503-335-5975",
            "fax_number": "503-335-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SE 121ST AVE",
            "address_2": "SUITE 216",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972164066",
            "telephone_number": "503-335-5975",
            "fax_number": "503-335-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSCHUYL",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAN",
        "name_prefix": "Mr.",
        "credential": "MSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "CSWA #A1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Vervloet, USTAF

• 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 Jul 8, 2007; 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.