Individual provider Active NPI

Katryn Haley-Little

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1447430079
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119447 Issued in MA
Practice address
601 NW Harmon Blvd Ste 7
Bend, OR 97703-3060
Phone
(541) 209-0678
Fax
(541) 200-0078
NPI assigned
Nov 12, 2007
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 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 119447 MA Primary
Clinical Social Worker 1041C0700X L12886 OR

Addresses

Primary practice location

601 NW Harmon Blvd Ste 7
Bend, OR 97703-3060

Mailing address

244 SE Vickie CT
Bend, OR 97702-1815
Phone (541) 209-0678

Other names 1

  • Katryn Little Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
119447MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Crest Counseling Clinical CurrentSince Nov 30, 2025 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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1447430079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SE VICKIE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021815",
            "telephone_number": "541-209-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW HARMON BLVD STE 7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033060",
            "telephone_number": "541-209-0678",
            "fax_number": "541-200-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY-LITTLE",
        "first_name": "KATRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119447",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRYN",
            "last_name": "LITTLE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.