Organization Active NPI

Sidewalk Blooming, LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1225735905
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SIDEWALK BLOOMING, LLC
Practice address
5441 S Macadam Ave Ste N
Portland, OR 97239-6106
Phone
(503) 427-8135
NPI assigned
Feb 13, 2023
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Katelin Westfall, LCSWNPI 1184288797
Title
Owner
Phone
(503) 427-8135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

5441 S Macadam Ave Ste N
Portland, OR 97239-6106

Mailing address

4207 SE Woodstock Blvd # 241
Portland, OR 97206-6267

Other practice location 1

1135 SE Salmon St Ste 106
Portland, OR 97214-2695
Phone (503) 427-8135

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
500317296MedicaidOR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1225735905",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "503-427-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 SE Salmon St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142695",
            "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": {
        "organization_name": "SIDEWALK BLOOMING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "KATELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-427-8135",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500317296",
            "state": "OR"
        }
    ],
    "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 18, 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.