Individual provider Active NPI

Steven B Stolzoff, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1396981536
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4199 Issued in OR
Practice address
5936 SE Kelly St
Portland, OR 97206-2052
Phone
(503) 888-7004
NPI assigned
Dec 17, 2008
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 L4199 OR Primary

Addresses

Primary practice location

5936 SE Kelly St
Portland, OR 97206-2052

Mailing address

5936 SE Kelly St
Portland, OR 97206-2052
Phone (503) 888-7004

Other practice location 1

1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone (503) 888-7004

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
I20090225000159 OR Practitioner - Clinical Social Worker 8820153919 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 SE Alder St
Suite 301
Portland, OR 97214-2400
Phone (503) 888-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L4199ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Clackamas Office of County Auditor Past Accepting new patients
Mid-Columbia Center for Living PastSince Jun 15, 2021 Accepting new patients
Mid-Columbia Center for Living Clinical PastSince Sep 2, 2014 Accepting new patients
Mid-Columbia Center for Living Past Accepting new patients
Clackamas County Past Accepting new patients

Organizations & group practices 5

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1396981536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 SE KELLY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062052",
            "telephone_number": "503-888-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 SE KELLY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062052",
            "telephone_number": "503-888-7004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE Alder St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972142400",
            "country_code": "US",
            "telephone_number": "503-888-7004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLZOFF",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.