Patricia Wafer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L1134 Issued in OR

Practice address

8306 N Edison St
Portland, OR 97203-5309

Phone

(541) 784-6935

Fax

(541) 229-2233

NPI assigned

Apr 6, 2007

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Wafer Gukeisen Former name

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Patricia Wafer LCSW LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1902361082
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1649393661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 N EDISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035309",
            "telephone_number": "541-784-6935",
            "fax_number": "541-229-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 N EDISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035309",
            "telephone_number": "541-784-6935",
            "fax_number": "541-229-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFER",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GUKEISEN",
            "middle_name": "WAFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Wadnizak, LMT
• Keenan Wadnizak
• Elena Wadsworth
• John G Wadsworth, LCSW
• Elizabeth Waechter Smith, CADC I
• Amy Linn Wagamon, PTA
• Shelly Wagar, LAC
• Paula Wagenbach, PSYD
• Karen A Wager, D.C.
• Melissa J Wages, DDS

• 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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.