Individual provider Active NPI

Lavonne Lee King, MSW, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
National Provider Identifier
1003550179
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16474 Issued in OR
Practice address
5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696
Phone
(971) 213-2837
Fax
(971) 209-7260
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A13468 OR
Mental Health Counselor 101YM0800X 23-QMHPC-001334 OR
Clinical Social Worker 1041C0700X L16474 OR Primary

Addresses

Primary practice location

5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696

Mailing address

5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696
Phone (971) 213-2837

Other practice location 1

10615 Cherry Blossom Dr Ste 250
Portland, OR 97216
Phone (971) 373-4041

Other identifiers 1

IdentifierTypeStateIssuer
5008069107MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251217004064 OR Practitioner - Clinical Social Worker 0345735387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23-QMHPC-001334ORMDMental Health Counselor
A13468ORMDSocial Worker
L16474ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Anchor Within Counseling Mental Health CurrentSince Aug 17, 2025 Accepting new patients

Locations

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

5 Centerpointe Dr
Ste 320
Lake Oswego, OR 97035
Phone (971) 200-5635

10615 SE Cherry Blossom Dr
Ste 250
Portland, OR 97216
Phone (971) 373-4041

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1003550179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 320",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358696",
            "telephone_number": "971-213-2837",
            "fax_number": "971-209-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 320",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358696",
            "telephone_number": "971-213-2837",
            "fax_number": "971-209-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10615 Cherry Blossom Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97216",
            "country_code": "US",
            "telephone_number": "971-373-4041",
            "fax_number": "503-912-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "LAVONNE",
        "middle_name": "LEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A13468",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "23-QMHPC-001334",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5008069107",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.