DIVERGE
NPI 1053288431
Social Worker - Clinical in Portland, OR

Active since October 21, 2025
555 SE MLK BLVD, PORTLAND, OR 97214(503) 780-9243 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diverge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVERGE (NPI 1053288431) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since October 2025. The organization lists Monika K Weitzel, Founder/co-director, as its authorized official.

NPPES Registry Identity

NPI1053288431
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDIVERGE
Location Address555 SE MLK BLVDPortland, OR 97214-2526
Mailing Address2000 Ne 42nd AvePortland, OR 97213-1399 · (503) 780-9243
Organization SubpartNo
Authorized OfficialMonika K WeitzelFounder/co-director · (503) 780-9243
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1053288431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPeer SpecialistTaxonomy 175T00000X
555 SE MLK BLVD, Portland, OR 97214

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diverge's NPI number?

The NPI number for Diverge is 1053288431. It was assigned to this organization in the NPPES registry on October 21, 2025.

Where is Diverge located?

Diverge is located at 555 SE Mlk Blvd, Portland, OR 97214. The listed phone number is (503) 780-9243.

What is Diverge's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Diverge was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.