Monika Weitzel, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A5401 Issued in OR

Practice address

7704 N Hereford Ave
Portland, OR 97203-3434

Phone

(503) 780-9243

NPI assigned

Aug 18, 2020

Last updated

Oct 31, 2023By 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

Electronic endpoints 3

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Diverge

  • Clinical Social Worker
  • Portland, OR
  • NPI 1053288431
  NPD Authorized official

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1750993051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 N HEREFORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 N HEREFORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033434",
            "telephone_number": "503-780-9243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 NE Everett St Apt 102",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972323485",
            "country_code": "US",
            "telephone_number": "503-780-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "MONIKA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "portland",
            "affiliation": "N",
            "address_1": "7704 N Hereford Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972033434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "portland",
            "affiliation": "N",
            "address_1": "7704 N Hereford Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972033434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "portland",
            "affiliation": "N",
            "address_1": "7704 N Hereford Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972033434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meredith Marie Weissman
• Sheryl K Weissman, D.D.S.
• Jessie Weisstein, LCSW
• Simone Elizabeth Weisz
• Teresa Weitz
• David Weitzman
• Karli Weitzman
• Nicole B Weksler, MD
• Jody Marie Welborn, MD
• Michelle Cameron Welborn, MD

• 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 Oct 31, 2023; 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.