Active NPI
Gwendolyn Evan Williams, LCSW
- Clinical Social Worker
- Hood River, OR
National Provider Identifier
1558598599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4428
- Practice address
- 208 State Street
Suite #2
Hood River, OR 97031-2036 - Phone
- (541) 241-6276
- Fax
- (360) 844-5184
- NPI assigned
- Jun 17, 2009
- Last updated
- Apr 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4428 | OR | Primary |
Addresses
Primary practice location
208 State Street
Suite #2
Hood River, OR 97031-2036
Mailing address
208 State Street
Suite #2
Hood River, OR 97031
Phone (412) 416-2765
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R147878 | Other | OR | MEDICARE PTAN |
| 500801640 | Medicaid | OR | |
| 139670 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Center for Living | Past | Accepting new patients | |
| Mid-Columbia Center for Living | Clinical | Past | Accepting new patients |
| Mid-Columbia Center for Living | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McCfl the Dalles Och
- Community/Behavioral Health Agency
- The Dalles, OR
- NPI 1275954513
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- The Dalles, OR
- NPI 1699745794
Clinical
-
dba McCfl Hood River Main Office
- Community/Behavioral Health Agency
- Hood River, OR
- NPI 1831510155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1558598599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 STATE STREET",
"address_2": "SUITE #2",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "97031",
"telephone_number": "412-416-2765",
"fax_number": "360-844-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 STATE STREET",
"address_2": "SUITE #2",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970312036",
"telephone_number": "541-241-6276",
"fax_number": "360-844-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GWENDOLYN",
"middle_name": "EVAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "R147878",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500801640",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139670",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.