Individual provider Active NPI

Katelin Westfall, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1184288797
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11263 Issued in OR
Practice address
1135 SE Salmon St Ste 106
Portland, OR 97214-2695
Phone
(503) 427-8135
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L11263 OR Primary
Social Worker 104100000X A12129 OR

Addresses

Primary practice location

1135 SE Salmon St Ste 106
Portland, OR 97214-2695

Mailing address

4207 SE Woodstock Blvd # 241
Portland, OR 97206-6267
Phone (503) 427-8135

Other practice location 1

5441 S MacAdam Ave Ste N
Portland, OR 97239-6106
Phone (503) 427-8135

Other practice location 2

6529 NE Sandy Blvd Ste 208
Portland, OR 97213-4544
Phone (503) 427-8135

Other identifiers 2

IdentifierTypeStateIssuer
500783580MedicaidOR
206117MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A12129ORMDSocial Worker
L11263ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sidewalk Blooming, LLC Clinical Current Accepting new patients
The Young Mens Christian Association of Greater Seattle Past Accepting new patients

Locations

5441 S Macadam Ave
Ste N
Portland, OR 97239
Phone (346) 697-6065

4207 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 312-6005

6529 NE Sandy Blvd
Ste 208
Portland, OR 97213
Phone (503) 427-8135

2355 State St
Ste 101
Salem, OR 97301
Phone (503) 383-9039

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1184288797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 SE WOODSTOCK BLVD # 241",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066267",
            "telephone_number": "503-427-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 SE SALMON ST STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142695",
            "telephone_number": "503-427-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5441 S MacAdam Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972396106",
            "country_code": "US",
            "telephone_number": "503-427-8135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6529 NE Sandy Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972134544",
            "country_code": "US",
            "telephone_number": "503-427-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTFALL",
        "first_name": "KATELIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11263",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A12129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500783580",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.