Individual provider Active NPI

Kristen Tornga, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1396457776
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16880 Issued in OR
Practice address
811 SW 6TH Ave Ste 1000
Portland, OR 97204-1345
Phone
(231) 668-1937
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L16880 OR Primary

Addresses

Primary practice location

811 SW 6TH Ave Ste 1000
Portland, OR 97204-1345

Mailing address

1115 SW Market St Apt 206
Portland, OR 97201-3397
Phone (231) 668-1937

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250905001555 OR Practitioner - Clinical Social Worker 2466954805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

811 SW 6TH Ave
Suite 1000
Portland, OR 97204-1345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L16880ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services Connection LLC Social Worker CurrentSince Aug 6, 2025 Accepting new patients

Locations

3611 SE 20th Ave
Ste 202
Portland, OR 97202
Phone (503) 334-3035

811 SW 6th Ave
Ste 1000
Portland, OR 97204
Phone (503) 334-3035

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1396457776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SW MARKET ST APT 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013397",
            "telephone_number": "231-668-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SW 6TH AVE STE 1000",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041345",
            "telephone_number": "231-668-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNGA",
        "first_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.