Mariah Kathleen Horrigan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10322 Issued in OR

Practice address

4949 S Macadam Ave
Portland, OR 97239-3912

Phone

(716) 308-2105

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063921435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 S MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393912",
            "telephone_number": "716-308-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 S MACADAM AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393912",
            "telephone_number": "716-308-2105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 NE Division St",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970304617",
            "country_code": "US",
            "telephone_number": "503-666-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORRIGAN",
        "first_name": "MARIAH",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Mark Hornung, M.D.
• Brandon Zane Horowitz, M.D.
• Grace Horowitz
• Paul Horowitz, MD
• Sonya M Horowitz, IBCLC, CPM
• Alina Horrocks
• Jordan B Horrocks, PA-C
• Michael Horsburgh, PSS, THW
• William Horsley
• Dominic Hortaleza, DMD

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.