Individual provider Active NPI

Hillarey Anne Rothenberger, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1447982715
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L16476 Issued in OR
Practice address
2874 Bastille Ave SE
Salem, OR 97306-8816
Phone
(541) 936-5449
NPI assigned
Jun 27, 2022
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 L16476 OR Primary

Addresses

Primary practice location

2874 Bastille Ave SE
Salem, OR 97306-8816

Mailing address

2874 Bastille Ave SE
Salem, OR 97306-8816
Phone (541) 936-5449

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
I20251106004054 OR Practitioner - Clinical Social Worker 6406346584 Practice locations: Corvallis, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2311 NW Van Buren Ave
Corvallis, OR 97330-5399
Phone (971) 701-0532

2874 Bastille Ave SE
Salem, OR 97306-8816

PO Box
Suite 9
Tillamook, OR 97141-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L16476ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hillarey Rothenberger, LLC CurrentSince May 12, 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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1447982715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 BASTILLE AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973068816",
            "telephone_number": "541-936-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 BASTILLE AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973068816",
            "telephone_number": "541-936-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERGER",
        "first_name": "HILLAREY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.