Active NPI
Kayley Jo Harrington, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1295470078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW03638
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ISW03638 | Other | RI | RI DEPARTMENT OF HEALTH |
| L15966 | Other | OR | BOARD OF LICENSED SOCIAL WORKERS |
| 92766 | Other | CA | BOARD OF BEHAVIORAL SCIENCES CA |
| CSW.09927557 | Other | CO | CO DEPARTMENT OF REGULATORY AGENCIES |
| LICSW1130095 | Other | MA | BOARD OF REGISTRATION OF SOCIAL WORKERS |
| LW61638498 | Other | WA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 92766 | CA | MD | Clinical Social Worker |
| 09927557 | CO | MD | Clinical Social Worker |
| LICSW1130095 | MA | MD | Clinical Social Worker |
| L15966 | OR | MD | Clinical Social Worker |
| ISW03638 | RI | MD | Clinical Social Worker |
| LW61638498 | WA | MD | Clinical 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.