Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Onampai Modi Soondarotok, LCSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194285411

Onampai Modi Soondarotok, LCSW is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2000 NE 42nd Ave # 1004
Portland, OR 97213-1399
Phone: (503) 683-1558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11071 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194285411
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 22, 2019
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023

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