Individual provider Active NPI

Katherine Pierce Alton, LICSW

  • Clinical Social Worker
  • White Salmon, WA
National Provider Identifier
1447087762
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61507406 Issued in WA
Practice address
410 E Jewett Blvd
White Salmon, WA 98672-3011
Phone
(541) 402-1021
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 61507406 WA Primary

Addresses

Primary practice location

410 E Jewett Blvd
White Salmon, WA 98672-3011

Mailing address

PO Box 729
Mosier, OR 97040-0729
Phone (612) 203-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260423002118 WA Practitioner - Clinical Social Worker 8224505508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 NE Skyline Dr
White Salmon, WA 98672-1948

212 NE Skyline Dr
White Salmon, WA 98672-1948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61507406WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gorge Therapy Group PLLC Clinical Current Accepting new patients

Organizations & group practices 3

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1447087762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "MOSIER",
            "state": "OR",
            "postal_code": "970400729",
            "telephone_number": "612-203-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E JEWETT BLVD",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986723011",
            "telephone_number": "541-402-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTON",
        "first_name": "KATHERINE",
        "middle_name": "PIERCE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61507406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

Verify at the official NPI Registry.