Individual provider Active NPI

Laura Keithly, CSWA, LSSW

  • School Social Worker
  • Bend, OR
National Provider Identifier
1538079660
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
511803 Issued in OR
Practice address
60925 SE 15TH St
Bend, OR 97702-0003
Phone
(541) 355-5000
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 511803 OR Primary

Addresses

Primary practice location

60925 SE 15TH St
Bend, OR 97702-0003

Mailing address

60498 Hedgewood LN
Bend, OR 97702-9382
Phone (913) 709-4456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1538079660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60498 HEDGEWOOD LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029382",
            "telephone_number": "913-709-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60925 SE 15TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977020003",
            "telephone_number": "541-355-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITHLY",
        "first_name": "LAURA",
        "credential": "CSWA, LSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OR",
            "license": "511803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.