Individual provider Active NPI

Leeandria N. Witcraft, LCSW

  • Clinical Social Worker
  • Klamath Falls, OR
National Provider Identifier
1053884791
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10443 Issued in OR
Practice address
6000 New Way
Klamath Falls, OR 97601-9382
Phone
(541) 966-9830
Fax
(541) 240-8410
NPI assigned
Jan 4, 2019
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L10443 OR Primary

Addresses

Primary practice location

6000 New Way
Klamath Falls, OR 97601-9382

Mailing address

6000 New Way
Klamath Falls, OR 97601-9382
Phone (541) 966-9830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210224001493 TX Practitioner - Clinical Social Worker 5193130110 Reassigns benefits to 1 organization
I20240129001025 OR Practitioner - Clinical Social Worker 5193130110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coquille Indian TribeGroup PAC ID 6002805330, 21 clinicians

Practice addresses (Care Compare)

2401 River Rd
Suite 101
Eugene, OR 97404-5412
Phone 54188894942208

630 Miluk Dr
Coos Bay, OR 97420-7728
Phone 54188894947047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A4891ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cow Creek Band of Umpqua Tribe of Indians CurrentSince Aug 8, 2021 Accepting new patients
Coquille Indian Tribe CurrentSince Apr 11, 2023 Accepting new patients
Klamath Tribal Health & Family Services CurrentSince Jul 13, 2026 Accepting new patients
Klamath Tribal Health & Family Services CurrentSince Jul 13, 2026 Accepting new patients
Klamath Tribal Health and Family Services PastSince Jun 22, 2021 Accepting new patients

Locations

630 Miluk Dr
Coos Bay, OR 97420
Phone (541) 435-7039

2401 River Rd
Ste 101
Eugene, OR 97404
Phone (541) 344-8469

3949 S 6th St
Klamath Falls, OR 97603
Phone (541) 882-1487

6000 New Way
Klamath Falls, OR 97601
Phone (541) 884-1841

2371 NE Stephens St
Ste 200
Roseburg, OR 97470
Phone (541) 672-8533

Interoperability endpoints

  • Direct secure messaging: leeandria.witcraft.p2@direct.coquilletribe.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1053884791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 NEW WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019382",
            "telephone_number": "541-966-9830",
            "fax_number": "541-240-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NEW WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976019382",
            "telephone_number": "541-966-9830",
            "fax_number": "541-240-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCRAFT",
        "first_name": "LEEANDRIA",
        "middle_name": "N.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.