Active NPI
Liberation Therapy Center LLC
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1992560148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIBERATION THERAPY CENTER LLC
- Practice address
- 1110 SE Alder St Ste 301
Portland, OR 97214-2400 - Phone
- (503) 744-7269
- Fax
- (503) 506-6974
- NPI assigned
- Feb 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Knutsen, LCSW
- Title
- Owner
- Phone
- (503) 744-7269
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1110 SE Alder St Ste 301
Portland, OR 97214-2400
Mailing address
5638 Lake Murray Blvd # 216
La Mesa, CA 91942-1929
Phone (630) 251-4458
Other practice location 1
2525 Camino Del Rio S Ste 315
San Diego, CA 92108-3784
Phone (503) 744-7269
National Provider Directory
National Provider DirectoryLocations
5638 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 481-8691
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Portland, OR
- NPI 1003436668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1992560148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5638 LAKE MURRAY BLVD # 216",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421929",
"telephone_number": "630-251-4458",
"fax_number": "503-506-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SE ALDER ST STE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142400",
"telephone_number": "503-744-7269",
"fax_number": "503-506-6974"
}
],
"practiceLocations": [
{
"address_1": "2525 Camino Del Rio S Ste 315",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083784",
"country_code": "US",
"telephone_number": "503-744-7269",
"fax_number": "503-506-6974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIBERATION THERAPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "KNUTSEN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-744-7269",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.