Individual provider Active NPI

Katie Roeda, LCSW

  • Clinical Social Worker
  • Happy Valley, OR
National Provider Identifier
1407135833
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6101 Issued in OR
Practice address
13203 SE 172ND Ave Ste 1662072
Happy Valley, OR 97086-8737
Phone
(503) 440-1548
Fax
(503) 967-7605
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 L6101 OR Primary

Addresses

Primary practice location

13203 SE 172ND Ave Ste 1662072
Happy Valley, OR 97086-8737

Mailing address

13203 SE 172ND Ave Ste 1662072
Happy Valley, OR 97086-8737
Phone (503) 440-1548

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
I20141126000603 OR Practitioner - Clinical Social Worker 8325360498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6101ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Constant Encouragement LLC Clinical CurrentSince Apr 2, 2026 Accepting new patients

Locations

13203 SE 172nd Ave
Ste 1662072
Happy Valley, OR 97086
Phone (503) 440-1548

Interoperability endpoints

  • Direct secure messaging: katieroeda@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1407135833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SE 172ND AVE STE 1662072",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868737",
            "telephone_number": "503-440-1548",
            "fax_number": "503-967-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 SE 172ND AVE STE 1662072",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868737",
            "telephone_number": "503-440-1548",
            "fax_number": "503-967-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDA",
        "first_name": "KATIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.