Individual provider Active NPI

Courtney Lyn Schoenfeld, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1932418324
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6778 Issued in OR
Practice address
3735 SW River Pkwy
Portland, OR 97239-4560
Phone
(503) 972-7090
Fax
(503) 972-7093
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 L6778 OR Primary

Addresses

Primary practice location

3735 SW River Pkwy
Portland, OR 97239-4560

Mailing address

6022 SE 43Rd Ave
Portland, OR 97206-6211
Phone (412) 867-8549

Other names 1

  • Miss Courtney Lyn Morrell Former name

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

State licenses

LicenseStateTypeSpecialty
L6778ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Professional Center CurrentSince May 17, 2020 Accepting new patients

Locations

3735 S River Pkwy
Portland, OR 97239
Phone (503) 972-7090

4207 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 312-6005

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1932418324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 SE 43RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066211",
            "telephone_number": "412-867-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SW RIVER PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394560",
            "telephone_number": "503-972-7090",
            "fax_number": "503-972-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENFELD",
        "first_name": "COURTNEY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MORRELL",
            "middle_name": "LYN",
            "prefix": "MISS",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.