Kathryn McKinzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L16255 Issued in OR

Practice address

1800 Blankenship Rd Ste 448
West Linn, OR 97068-4191

Phone

(971) 378-0367

NPI assigned

May 2, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cascade Counseling and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gladstone, OR
  • NPI 1700477619
  Medicare reassignment NPD
• Thriveworks Clinical - Oregon LLC

  • Mental Health Counselor
  • Salem, OR
  • NPI 1447926928
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1528857901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 CHEYENNE TER",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682275",
            "telephone_number": "510-292-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 448",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684191",
            "telephone_number": "971-378-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINZIE",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Vashtie Maxwell, LMT
• Maureen J Mayfield, LMT
• Jessica Maynard, L.AC.
• Colin M McDonough, M.D
• Bernadette Teresa McKee, LMT
• Daniel McMillan, PTA
• Kari McNamara, RN, MSCP, NBC-HWC
• Jeffrey Edward McWilliams, M.D.
• MD Squared
• Huey J Meeker, M.D.

• Clinical Social Worker in West Linn, OR
• Providers in West Linn, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.