Gretchen Geuder Klipp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L12647 Issued in OR

Practice address

4055 SW Garden Home Rd
Portland, OR 97219-3664

Phone

(971) 319-4827

Fax

(503) 662-6221

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Loyola University of Chicago, Stritch School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Nurture and Bloom Therapy LLC

  • Clinical Social Worker
  • Portland, OR
  • NPI 1891402996
  NPD Authorized official

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1336738996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 N HAIGHT AVE UNIT A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172986",
            "telephone_number": "616-218-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193664",
            "telephone_number": "971-319-4827",
            "fax_number": "503-662-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIPP",
        "first_name": "GRETCHEN",
        "middle_name": "GEUDER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Klinger
• Andrea Michele Klingle, LMT
• Bridget R Klingman
• Kaitlin Jane Klinkebiel
• Daniel Robert Klinkert, M.S.W.
• David M Klipper, DO
• Zachary Klipstein
• Priscilla Klockner, M.A.
• Jessica Mintie Kloenne, D.M.D.
• Terra Kloepfer

• 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 Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.