Individual provider Active NPI

Ryan L Ellsworth, LCSW, CADC I

  • Clinical Social Worker
  • Welches, OR
National Provider Identifier
1013447309
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8595 Issued in OR
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

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240724004641 OR Practitioner - Clinical Social Worker 6305382466 Reassigns benefits to 2 organizations

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
Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

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

LicenseStateTypeSpecialty
A4926ORMDMental Health Counselor
L8595ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Orchid Oakridge Clinic, PC CurrentSince Dec 29, 2024 Accepting new patients
Orchid Oakridge Clinic, P.C. Current Accepting new patients
Ah Addiction Care PC Addiction (Substance Use Disorder) CurrentSince May 12, 2024 Accepting new patients
Volunteers of America Inc. PastSince Jul 1, 2022 Accepting new patients
Ah Addiction Care of California PC Addiction (Substance Use Disorder) PastSince Sep 8, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.