MS. TIMISHA K WILSON


Address: 12505 Ne Halsey St, Portland, OR 97230
Phone: 9712797439

MS. TIMISHA K WILSON (NPI# 1932687233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932687233
Entity Type Individual
Full Name MS. TIMISHA K WILSON
Credential MSW
Practice Address 12505 Ne Halsey St
Portland
OR 97230
Mailing Address Po Box 55861
Portland
OR 97238-5861
Practice Telephone 9712797439
Mailing Telephone 9712797439
Mailing Fax Number 5032067479
Enumeration Date 2018-07-30
Last Update Date 2020-04-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
L7766 OR Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1306 Ne 2nd Ave, Portland, OR 972321117 9712797439
2306 Ne Glisan St Ste 200, Portland, OR 972322392 9712797439

Office Location

Street Address 12505 NE HALSEY ST
City PORTLAND
State OR
Zip Code 97230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710445218 Sovalti LLC Counselor 12505 Ne Halsey St, Portland, OR 97230-1928 2019-03-04
1295234409 Clean Start LLC Counselor 12505 Ne Halsey St, Portland, OR 97230-1928 2018-02-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356828768 Sally Gail Logan Pharmacist 5725 Ne 138th Avenue, Portland, OR 97230 2018-07-27
1063937951 Marley Elizabeth Small Counselor 1507 Ne 122nd Ave., Portland, OR 97230 2017-08-11
1447771316 Shadab Nasreen Aijazi Pathology 5220 Ne 122nd Avenue, Portland, OR 97230 2017-06-30
1104378199 Derek Andrus Pharmacist 5717 Nw 138th, Portland, OR 97230 2016-10-26
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1649622473 Sara Mcgroarty Counselor 17710 Ne Halsey Street, Portland, OR 97230 2016-07-05
1346699949 Steven D Stanton Counselor 1022 Ne 181st Ave, C1, Portland, OR 97230 2016-06-06
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
1386026011 Melissa Sy Nursing Care 15915 Ne Glisan St, Portland, OR 97230 2015-06-18
Find all providers in zip 97230

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063012649 Kathleen Russell Social Worker 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 2020-10-31
1275131534 Alice Hacker Social Worker 14702 Se Rhone St, Portland, OR 97236-2557 2020-10-09
1598372070 Kristin Elizabeth Hajny Social Worker 9343 Sw Camille Ter, Portland, OR 97223-7042 2020-09-28
1821605759 Melanie Smith Social Worker 4210 N Juneau St, Portland, OR 97203-2063 2020-09-24
1871100867 Purely Spirit Holistic Health, LLC Social Worker 226 Stevens Ave Apt 9, Portland, ME 04102-2263 2020-09-24
1023624780 Flourish Counseling and Consulting LLC Social Worker 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 2020-09-18
1245845130 Crescent Psychotherapy Social Worker 168 Neal St, Portland, ME 04102-3343 2020-09-09
1861007676 Yvonne Recchia Social Worker 5257 Ne Mlk, Portland, OR 97211-3282 2020-09-09
1447864327 Gordon Keepers Social Worker 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 2020-09-08
1609484187 Julie Pratt Social Worker 14 Culver Ln, Portland, CT 06480-1323 2020-07-21
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97230

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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