Kathleen Marie Egli, LCSW
Individual provider Active NPI Clinical Social Worker · Gladstone, OR
NPI 1497273205 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1497273205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2394 (OR)
- Practice address
- 880 82ND Dr BLDG B
Gladstone, OR 97027-1803 - Phone
- (503) 233-5405
- Fax
- (503) 233-2694
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2394 | OR | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2394 | OR | Yes |
Addresses
Primary practice location
880 82ND Dr BLDG B
Gladstone, OR 97027-1803
Mailing address
13197 SE Spring Mountain Dr
Happy Valley, OR 97086-6703
Phone (971) 207-4063
Other practice location 1
880 82nd Dr Bldg A
Gladstone, OR 97027-1803
Phone (503) 233-5405
Other names
- Kathleen Marie Warwick
Other providers in Gladstone, OR
- Dennis T. Adair D.M.D., P.C.
- Lynnette Diller
- Dr William Beutler
- Angela Jennette Dryden
- April Michelle Duyn
- Alexandra Anne Emmert
- Ev Juniper LLC
- Sarah Grace Evans
- Robert Highley Everett
- Evergreen Joy
All providers in Gladstone, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.