Individual provider Active NPI

Kayley Jo Harrington, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1295470078
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03638 Issued in RI
Practice address
2523 SE Pine LN
Portland, OR 97267-1222
Phone
(970) 718-5590
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 92766 CA
Clinical Social Worker 1041C0700X 09927557 CO
Clinical Social Worker 1041C0700X LW61638498 WA
Clinical Social Worker 1041C0700X L15966 OR
Clinical Social Worker 1041C0700X LICSW1130095 MA
Clinical Social Worker 1041C0700X ISW03638 RI Primary

Addresses

Primary practice location

2523 SE Pine LN
Portland, OR 97267-1222

Mailing address

2566 E Caramillo St
Colorado Springs, CO 80909-3070
Phone (202) 257-3454

Other practice location 1

1 Richmond Sq Ste 350W
Providence, RI 02906-5165
Phone (401) 441-5834

Other identifiers 6

IdentifierTypeStateIssuer
ISW03638OtherRIRI DEPARTMENT OF HEALTH
L15966OtherORBOARD OF LICENSED SOCIAL WORKERS
92766OtherCABOARD OF BEHAVIORAL SCIENCES CA
CSW.09927557OtherCOCO DEPARTMENT OF REGULATORY AGENCIES
LICSW1130095OtherMABOARD OF REGISTRATION OF SOCIAL WORKERS
LW61638498OtherWASTATE OF WASHINGTON DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92766CAMDClinical Social Worker
09927557COMDClinical Social Worker
LICSW1130095MAMDClinical Social Worker
L15966ORMDClinical Social Worker
ISW03638RIMDClinical Social Worker
LW61638498WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1295470078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 E CARAMILLO ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093070",
            "telephone_number": "202-257-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 SE PINE LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972671222",
            "telephone_number": "970-718-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richmond Sq Ste 350W",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065165",
            "country_code": "US",
            "telephone_number": "401-441-5834",
            "fax_number": "401-210-8248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "KAYLEY",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92766",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927557",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61638498",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15966",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1130095",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI DEPARTMENT OF HEALTH",
            "identifier": "ISW03638",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF LICENSED SOCIAL WORKERS",
            "identifier": "L15966",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES CA",
            "identifier": "92766",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "CSW.09927557",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION OF SOCIAL WORKERS",
            "identifier": "LICSW1130095",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "LW61638498",
            "state": "WA"
        }
    ],
    "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 Apr 14, 2025; 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.