Organization Active NPI

Katie Jane Roeda, MSW, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1124419585
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6101 Issued in OR
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

Updated by the provider on Feb 13, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.