Katherine Canada, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10260 SW Greenburg Rd
4TH Floor
Portland, OR 97223

Phone

(971) 200-5254

NPI assigned

Oct 3, 2017

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kat Canada Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/thechildrenscenter/r4/

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.

• Larsen Sanchez Psychology, LLC

  • Clinical Psychologist
  • Portland, OR
  • NPI 1588041388
  NPD (past)
• Portland Neurofeedback, LLC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1558875476
  NPD (past)
• Children'S Center

  • Adolescent and Children Mental Health Clinic/Center
  • Vancouver, WA
  • NPI 1407870108

  Clinical

  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1235649328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 NE 50TH AVE UNIT 13084",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972130019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD",
            "address_2": "4TH FLOOR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "971-200-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADA",
        "first_name": "KATHERINE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAT",
            "last_name": "CANADA",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Camplair, PHD
• Patricia Camplair, PH.D.
• Adira Mariposa Campos Freigeist, LCSW
• Ariana Campos
• Yvonne Campos
• Spenser David Canada
• Nicole Alexis Canale, MPT
• Stephanie Maria Canales Basurto
• Emma Kathryn Canales
• Tamera K Canales, CD(DONA)

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.