Individual provider Active NPI

Elisabeth J Wittorff, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1184980393
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5142 Issued in OR
Practice address
8383 NE Sandy Blvd Ste 320E
Portland, OR 97220-4968
Phone
(971) 232-1267
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L5142 OR Primary

Addresses

Primary practice location

8383 NE Sandy Blvd Ste 320E
Portland, OR 97220-4968

Mailing address

8383 NE Sandy Blvd Ste 320E
Portland, OR 97220-4968
Phone (971) 232-1267

Other names 1

  • Lisa J Wittorff Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wiseowlcoaching.theranest.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 1, 2025 through Nov 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L5142ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services of Western Washington Past Accepting new patients

Organizations & group practices 1

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1184980393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 320E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204968",
            "telephone_number": "971-232-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 320E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204968",
            "telephone_number": "971-232-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTORFF",
        "first_name": "ELISABETH",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wiseowlcoaching.theranest.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "8383 NE Sandy Blvd Ste 320E",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972204968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WITTORFF",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.