Individual provider Active NPI

Kathryn Elizabeth Kemp, MSW

  • Clinical Social Worker
  • Madras, OR
National Provider Identifier
1215598735
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11319 Issued in OR
Practice address
500 NE a St Ste 100
Madras, OR 97741-1842
Phone
(541) 383-3005
Fax
(541) 383-1883
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 L11319 OR Primary

Addresses

Primary practice location

500 NE a St Ste 100
Madras, OR 97741-1842

Mailing address

PO Box 4228
Portland, OR 97208-4228
Phone (541) 383-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516000218 OR Practitioner - Clinical Social Worker 6507222684 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L11319ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Waters Medical Clinic CurrentSince May 8, 2023 Accepting new patients
Winding Waters Medical Clinic CurrentSince May 8, 2023 Accepting new patients
Mosaic Community Health CurrentSince Sep 8, 2025 Accepting new patients
Mosaic Community Health PastSince Nov 24, 2025 Accepting new patients

Locations

603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

Organizations & group practices 4

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1215598735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4228",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084228",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE A ST STE 100",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411842",
            "telephone_number": "541-383-3005",
            "fax_number": "541-383-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

Verify at the official NPI Registry.