Individual provider Active NPI

Kathleen Elizabeth Preuss, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
National Provider Identifier
1013516574
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3319 Issued in OR
Practice address
9 Monroe Pkwy Ste 270
Lake Oswego, OR 97035-8866
Phone
(503) 675-2830
Fax
(503) 675-2852
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Linda C Estergard PHD LCSW PC 9 clinicians

Practice addresses (Care Compare)

9 Monroe Pkwy
Suite 270
Lake Oswego, OR 97035-8866
Phone (503) 675-2830

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210420001956 OR Practitioner - Clinical Social Worker 9436567013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Linda C Estergard, PHD, LCSW, PC CurrentSince Jan 8, 2021 Accepting new patients

Locations

3990 Collins Way
Ste 202
Lake Oswego, OR 97035
Phone (503) 675-2830

9 Monroe Pkwy
Ste 270
Lake Oswego, OR 97035
Phone (503) 675-2830

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3319 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

9 Monroe Pkwy Ste 270
Lake Oswego, OR 97035-8866

Mailing address

9 Monroe Pkwy Ste 270
Lake Oswego, OR 97035-8866
Phone (503) 675-2830

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 5, 2024.

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1013516574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 270",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 270",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358866",
            "telephone_number": "503-675-2830",
            "fax_number": "503-675-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREUSS",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.