Ruth Ann Skodacek, LCSW,QMHP,CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3768 Issued in OR

Practice address

14195 SW Millikan Way
Beaverton, OR 97005-2307

Phone

(503) 644-2545

Fax

(503) 644-0379

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124124839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 SW CARSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193766",
            "telephone_number": "503-245-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14195 SW MILLIKAN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052307",
            "telephone_number": "503-644-2545",
            "fax_number": "503-644-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKODACEK",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW,QMHP,CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "L3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisters of St. Mary of Oregon Maryville Corporation
• Ashleigh Sizemore
• Delanie Sizemore
• Stefani Skidmore, MA, LPC-INTERN
• Jonathan Sklar, M.S.
• Tyler Douglas Skordal
• Sarah Therese Jones Slama, DPT
• Rochelle Slane
• James Slater, PHARMD
• Bonnie Lynn Slauterbeck

• Clinical Social Worker in Beaverton, OR
• Providers in Beaverton, 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 Sep 11, 2025; 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.