Active NPI
Ryan L Ellsworth, LCSW, CADC I
- Clinical Social Worker
- Welches, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8595
- Practice address
- 24461 E Welches Rd
Welches, OR 97067-7067 - Phone
- (971) 333-0494
- Fax
- (971) 715-4185
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19-07-07 | OR | |
| Mental Health Counselor | 101YM0800X | A4926 | OR | |
| Clinical Social Worker | 1041C0700X | L8595 | OR | Primary |
Addresses
Primary practice location
24461 E Welches Rd
Welches, OR 97067-7067
Mailing address
PO Box 729
Welches, OR 97067-0729
Phone (971) 333-0494
Other practice location 1
2318 NE Mlk Jr Blvd
Portland, OR 97212-3715
Phone (503) 335-8611 ext. 1843
Other practice location 2
847 NE 19th Ave Ste 100
Portland, OR 97232-2684
Phone (503) 238-0769
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24461 E Welches Rd
Welches, OR 97067-7067
Phone (971) 333-0494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A4926 | OR | MD | Mental Health Counselor |
| L8595 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchid Oakridge Clinic, PC | Current | Accepting new patients | |
| Orchid Oakridge Clinic, P.C. | Current | Accepting new patients | |
| Ah Addiction Care PC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Volunteers of America Inc. | Past | Accepting new patients | |
| Ah Addiction Care of California PC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
303 Twin Dolphin Dr
Ste 6006002
Redwood City, CA 94065
37400 Bell St
Sandy, OR 97055
Phone (503) 668-3483
24461 E Welches Rd
Welches, OR 97067
Phone (503) 622-3126
Interoperability endpoints
- ryan.ellsworth.1@31614.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Oakridge, OR
- NPI 1588088983
-
- Addiction Medicine (Family Medicine) Physician
- Redwood City, CA
- NPI 1295516128
Addiction (Substance Use Disorder), OR
-
- Primary Care Clinic/Center
- Elmira, OR
- NPI 1881274348
-
- Contractor
- Portland, OR
- NPI 1376611418
-
- Addiction Medicine (Family Medicine) Physician
- Sacramento, CA
- NPI 1144055302
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1013447309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "WELCHES",
"state": "OR",
"postal_code": "970670729",
"telephone_number": "971-333-0494",
"fax_number": "971-715-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24461 E WELCHES RD",
"city": "WELCHES",
"state": "OR",
"postal_code": "970677067",
"telephone_number": "971-333-0494",
"fax_number": "971-715-4185"
}
],
"practiceLocations": [
{
"address_1": "2318 NE Mlk Jr Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972123715",
"country_code": "US",
"telephone_number": "503-335-8611 x1843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "847 NE 19th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322684",
"country_code": "US",
"telephone_number": "503-238-0769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLSWORTH",
"first_name": "RYAN",
"middle_name": "L",
"credential": "LCSW, CADC I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "19-07-07",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "A4926",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Welches, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.