Individual provider Active NPI

Allison Blomquist Christianson, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
National Provider Identifier
1225692999
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8118 Issued in OR
Practice address
201 B Ave Ste 295
Lake Oswego, OR 97034-3290
Phone
(503) 616-1101
Fax
(503) 334-4379
NPI assigned
Apr 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 L8118 OR Primary

Addresses

Primary practice location

201 B Ave Ste 295
Lake Oswego, OR 97034-3290

Mailing address

17218 S Ramsby Rd
Molalla, OR 97038-7634
Phone (503) 616-1101

Other practice location 1

17218 S Ramsby Rd
Molalla, OR 97038-7634
Phone (503) 310-8081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191021000704 OR Practitioner - Clinical Social Worker 1658602834 Reassigns benefits to 1 organization
Practice locations: Lake Oswego, OR
I20201209000562 CO Practitioner - Clinical Social Worker 1658602834
I20201214002520 AZ Practitioner - Clinical Social Worker 1658602834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 B Ave
Suite 295
Lake Oswego, OR 97034-3290
Phone (503) 616-1101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8118ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Counseling West LLC Clinical CurrentSince Nov 5, 2020 Accepting new patients
Sundance Counseling West LLC Clinical CurrentSince Jul 4, 2021 Accepting new patients

Locations

5215 N Sabino Canyon Rd
Tucson, AZ 85750
Phone (503) 310-8081

201 B Ave
Ste 295
Lake Oswego, OR 97034
Phone (503) 212-9288

15100 Boones Ferry Rd
Ste 850
Lake Oswego, OR 97035
Phone (503) 310-8081

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": "1556323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1225692999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17218 S RAMSBY RD",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970387634",
            "telephone_number": "503-616-1101",
            "fax_number": "503-334-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 B AVE STE 295",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343290",
            "telephone_number": "503-616-1101",
            "fax_number": "503-334-4379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17218 S Ramsby Rd",
            "address_purpose": "LOCATION",
            "city": "Molalla",
            "state": "OR",
            "postal_code": "970387634",
            "country_code": "US",
            "telephone_number": "503-310-8081",
            "fax_number": "503-334-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "ALLISON",
        "middle_name": "BLOMQUIST",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-27",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.