EDDIE MARK MOUNIVONG MSW
NPI 1194329342
Social Worker - Clinical in Portland, OR

Active since November 29, 2020
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2021, Nov 29, 2020 (2 updates tracked since 2020).

About Eddie Mark Mounivong Msw NPPES

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

EDDIE MARK MOUNIVONG MSW (NPI 1194329342) is an individual clinical provider in Portland, Oregon and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1194329342
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameEDDIE MARK MOUNIVONGCredential: MSW
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing Address3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964 · (503) 220-8262
Sole ProprietorYes
Enumeration DateNovember 29, 2020
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2021
NPI 1194329342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239

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 Eddie Mounivong's NPI number?

The NPI number for Eddie Mounivong is 1194329342. It was assigned to this individual provider in the NPPES registry on November 29, 2020.

Where is Eddie Mounivong located?

Eddie Mounivong practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Eddie Mounivong'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 Eddie Mounivong was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.