Timisha K Wilson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7766 Issued in OR

Practice address

1306 NE 2ND Ave
Portland, OR 97232-1117

Phone

(971) 279-7439

NPI assigned

Jul 30, 2018

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wilson Family Services LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1043947203
  NPD Authorized official
• Sovalti LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1710445218
  NPD (past) Authorized official

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1932687233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 NE HALSEY ST STE 108",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205670",
            "telephone_number": "971-279-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321117",
            "telephone_number": "971-279-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 NE Halsey St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972205670",
            "country_code": "US",
            "telephone_number": "971-279-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMISHA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Ann Wilson, CRM, QMHA, CADC
• Talisa Wilson
• Talitha Grace Wilson
• Tashariya Wilson
• Teresa Ann Combs Wilson, MA LPC
• Verlinda Wilson, RN
• Veronica Elise Wilson, QMHP, CSWA
• William Harwell Wilson, MD
• William Lee Wilson, L.M.T.
• William Slate Wilson, 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 Jan 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.