Kristina Anzell
Individual provider Active NPI Clinical Social Worker · Redmond, OR
NPI 1104283019 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1104283019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW93404 (CA)
- Practice address
- 1241 SW Highland Ave Ste 107
Redmond, OR 97756-2639 - Phone
- (831) 204-8165
- NPI assigned
- Jan 22, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW93404 | CA | MD | Clinical Social Worker |
| L15968 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW93404 | CA | Yes |
| Clinical Social Worker | 1041C0700X | L15968 | OR |
Addresses
Primary practice location
1241 SW Highland Ave Ste 107
Redmond, OR 97756-2639
Mailing address
3525 SW Grandview CT
Redmond, OR 97756-7209
Phone (831) 204-8165
Other providers in Redmond, OR
- Rebecca Anderson
- Jessica Lynn Andrews
- Angela L Herget
- Ann Martin Counseling Inc.
- Julia M Annis
- Marci Aplin-Scott
- Cathie Apple
- Erin Hennessey Arant
- Ann Marie Arends
- Susan Patricia Armstrong
All providers in Redmond, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.