Kathleen Reicker, M.S.W., L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

398 Issued in OR

Practice address

1200 NW Naito Pkwy
Suite 280
Portland, OR 97209-2830

Phone

(503) 224-5241

NPI assigned

Oct 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1316199102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PKWY",
            "address_2": "SUITE 280",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092830",
            "telephone_number": "503-224-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PKWY",
            "address_2": "SUITE 280",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092830",
            "telephone_number": "503-224-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICKER",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.S.W.,  L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliana Reichhoff
• Lin M Reichhoff, LCSW
• Ashleigh Reichle
• John Roger Reichle, MD
• Cassidy Reichman
• Reid and Yates Physical Therapy Inc
• Barbara Ann Reid, RD
• Caitlin M. Reid, RN
• Carolyn E Reid, LMFT
• Catherine Veaudry Reid

• 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 Oct 13, 2008; 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.