Individual provider Active NPI

Mark Weinmeister, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1659310456
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3530 Issued in OR
Practice address
1220 SW Morrison St Ste 730
Portland, OR 97205-2226
Phone
(971) 258-0467
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 3530 OR Primary

Addresses

Primary practice location

1220 SW Morrison St Ste 730
Portland, OR 97205-2226

Mailing address

1220 SW Morrison St Ste 730
Portland, OR 97205-2226
Phone (971) 258-0467

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
I20150424000769 OR Practitioner - Clinical Social Worker 6305165317 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1220 SW Morrison St
Suite 730
Portland, OR 97205-2235
Phone (971) 258-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1659310456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SW MORRISON ST STE 730",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052226",
            "telephone_number": "971-258-0467",
            "fax_number": "971-266-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SW MORRISON ST STE 730",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052226",
            "telephone_number": "971-258-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINMEISTER",
        "first_name": "MARK",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-04-01",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.