Individual provider Active NPI

Carissa Pauline Ponting, LCSW

  • Clinical Social Worker
  • Oregon City, OR
National Provider Identifier
1396422507
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A13583 Issued in OR
Practice address
811 John Adams St
Oregon City, OR 97045-1956
Phone
(971) 344-2937
NPI assigned
Jun 29, 2023
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X A13583 OR Primary
Clinical Social Worker 1041C0700X L30039 OR

Addresses

Primary practice location

811 John Adams St
Oregon City, OR 97045-1956

Mailing address

811 John Adams St
Oregon City, OR 97045-1956
Phone (971) 344-2937

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
A13583ORMDClinical Social Worker
L30039ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parenteen Consulting and Counseling Services Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1396422507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451956",
            "telephone_number": "971-344-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451956",
            "telephone_number": "971-344-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTING",
        "first_name": "CARISSA",
        "middle_name": "PAULINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A13583",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L30039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.