Active NPI
Morganna Wynter Wolf, MSW, CSWA, CADCI
- Clinical Social Worker
- Aloha, OR
National Provider Identifier
1699029991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5856
- Practice address
- 17175 SW TV Hwy
Suite B2
Aloha, OR 97006-4584 - Phone
- (503) 941-3063
- Fax
- (503) 941-3099
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 04-11-71U3 | OR | |
| Clinical Social Worker | 1041C0700X | L5856 | OR | Primary |
Addresses
Primary practice location
17175 SW TV Hwy
Suite B2
Aloha, OR 97006-4584
Mailing address
3720 SW 141St Ave
Suite 100
Beaverton, OR 97005-2382
Phone (503) 941-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Past | Accepting new patients | |
| Neighborhood Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukie, OR
- NPI 1083984264
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1457902561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1699029991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 SW 141ST AVE",
"address_2": "SUITE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052382",
"telephone_number": "503-941-3033",
"fax_number": "503-941-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17175 SW TV HWY",
"address_2": "SUITE B2",
"city": "ALOHA",
"state": "OR",
"postal_code": "970064584",
"telephone_number": "503-941-3063",
"fax_number": "503-941-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "MORGANNA",
"middle_name": "WYNTER",
"credential": "MSW, CSWA, CADCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "04-11-71U3",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.