Active NPI
Katie Jane Roeda, MSW, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1124419585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6101
- Legal business name
- KATIE JANE ROEDA, MSW, LCSW
- Practice address
- 155 Liberty St NE
Suite 380
Salem, OR 97301-3505 - Phone
- (503) 440-1548
- Fax
- (503) 967-7605
- NPI assigned
- Feb 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katie Roeda, MSW
- Title
- Licensed Clinical Social Worker
- Phone
- (503) 440-1548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L6101 | OR | Primary |
Addresses
Primary practice location
155 Liberty St NE
Suite 380
Salem, OR 97301-3505
Mailing address
155 Liberty St NE
Suite 380
Salem, OR 97301-3505
Phone (503) 440-1548
National Provider Directory
National Provider DirectoryLocations
155 Liberty St NE
Ste 380
Salem, OR 97301
Phone (503) 440-1548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423785600000",
"number": "1124419585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LIBERTY ST NE",
"address_2": "SUITE 380",
"city": "SALEM",
"state": "OR",
"postal_code": "973013505",
"telephone_number": "503-440-1548",
"fax_number": "503-967-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 LIBERTY ST NE",
"address_2": "SUITE 380",
"city": "SALEM",
"state": "OR",
"postal_code": "973013505",
"telephone_number": "503-440-1548",
"fax_number": "503-967-7605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATIE JANE ROEDA, MSW, LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-13",
"status": "A",
"authorized_official_last_name": "ROEDA",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "503-440-1548",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.