Individual provider Active NPI

Barbara J Kollmar, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1487699583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1672 Issued in OR
Practice address
1130 SW Morrison St
#316
Portland, OR 97205-2234
Phone
(503) 226-7079
Fax
(503) 226-1130
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 L1672 OR Primary

Addresses

Primary practice location

1130 SW Morrison St
#316
Portland, OR 97205-2234

Mailing address

1909 Westlake Loop
Newberg, OR 97132-1500
Phone (503) 538-0593

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
L1672ORMDClinical Social Worker
1672ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Child Service CurrentSince Jun 21, 2006 Accepting new patients
Mary Anne Stowell LCSW, PC Clinical Past Accepting new patients

Locations

1221 SW Yamhill St
Ste 301
Portland, OR 97205
Phone (503) 226-7079

1130 SW Morrison St
Ste 316
Portland, OR 97205
Phone (503) 226-7079

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487699583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 WESTLAKE LOOP",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321500",
            "telephone_number": "503-538-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SW MORRISON ST",
            "address_2": "#316",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052234",
            "telephone_number": "503-226-7079",
            "fax_number": "503-226-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMAR",
        "first_name": "BARBARA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.