Individual provider Active NPI

Kelsey Anne Langille, LCSW

  • Social Worker
  • Portland, OR
National Provider Identifier
1558083162
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L18206 Issued in OR
Practice address
PO Box 19192
Portland, OR 97280-0192
Phone
(360) 961-0203
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X L18206 OR Primary

Addresses

Primary practice location

PO Box 19192
Portland, OR 97280-0192

Mailing address

PO Box 19192
Portland, OR 97280-0192
Phone (360) 961-0203

Other practice location 1

713 S Riverside Ave
Medford, OR 97501-7837
Phone (541) 203-0055

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connections First, LLC CurrentSince Sep 20, 2022 Accepting new patients
Rogue Holistic Therapy PastSince Oct 12, 2025 Accepting new patients
Spiral Tide Therapy LLC Past Accepting new patients

Locations

2250 NW Flanders St
Ste 201
Portland, OR 97210
Phone (503) 427-1952

Organizations & group practices 3

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1558083162",
    "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": "PO BOX 19192",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800192",
            "telephone_number": "360-961-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 S Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975017837",
            "country_code": "US",
            "telephone_number": "541-203-0055",
            "fax_number": "541-227-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGILLE",
        "first_name": "KELSEY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L18206",
            "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 Aug 14, 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.