Michelle Maria Wuerth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6477 Issued in OR

Practice address

775 SW Ninth Street
Suite H
Newport, OR 97365-4876

Phone

(541) 265-3955

Fax

(541) 574-4747

NPI assigned

Jun 16, 2010

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1962723759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SW NINTH STREET",
            "address_2": "SUITE H",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654876",
            "telephone_number": "541-265-3955",
            "fax_number": "541-574-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW NINTH STREET",
            "address_2": "SUITE H",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654876",
            "telephone_number": "541-265-3955",
            "fax_number": "541-574-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUERTH",
        "first_name": "MICHELLE",
        "middle_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092163",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Brian Wood, M.D.
• Savannah Rae Worman, PSS
• Wrazen & Rash PC, Physicians
• Ilene Pearl Wright, QMHA
• Tiffeny Ann Wright, B.S. PSYCHOLOGY
• Diana Xalteno Vasquez, QMHA
• B. Edward Yanke, DO
• Yaquina Chiropractic LLC
• Amy Catherine Yates, QMHP
• Elizabeth Ann Young, R.N.

• Clinical Social Worker in Newport, OR
• Providers in Newport, 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 Sep 26, 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.