Michelle Mitsui, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6725 Issued in OR

Practice address

2109 Wembley Park Rd
Lake Oswego, OR 97034-2617

Phone

(310) 210-1697

NPI assigned

Sep 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1220745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1821246570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970340040",
            "telephone_number": "310-210-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 WEMBLEY PARK RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342617",
            "telephone_number": "310-210-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUI",
        "first_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-07",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23428",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolina Mishchenko
• Carolyn Jean Mistele, PT
• Mitch Elovitz, LPC, LLC
• Laura Elise Mitchell, PHARMD
• Quinn Mitchell
• Sandra J. Miyamoto, O.D.
• Deborah Mize, RN
• Modern Chiropractic, LLC
• Janice Carole Modesitt, L.M.T.
• Mary Moffit, PH.D.

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, 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 Dec 9, 2015; 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.