Spiral Tide Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SPIRAL TIDE THERAPY LLC

Practice address

5134 SW Custer St
Portland, OR 97219-1482

Phone

(360) 961-0203

NPI assigned

Aug 12, 2026

Organization subpart

No

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

Authorized official

Name

Kelsey Anne Langille, LCSWNPI 1558083162

Title

Owner

Phone

(360) 961-0203

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey Anne Langille, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1558083162
  NPD (past) Authorized official

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1528983087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19192",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800192",
            "telephone_number": "360-961-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 SW CUSTER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191482",
            "telephone_number": "360-961-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRAL TIDE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "LANGILLE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-961-0203",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen M Spindor
• Spine Tree Chiropractic
• Courtney Spink, PSYD
• Jessica Spinu, HIS
• Katherine O Spira, DNP
• Derik Spires, RN
• Spirit Point Medicine Inc
• David Mark Spiro, MD
• Afrothiti Marina Spiropoulou, CNA
• Merisha Spisak

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 Sep 22, 2026; 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.