Individual provider Active NPI

Ann F Lauritsen, LCSW

  • Social Worker
  • Portland, OR
National Provider Identifier
1568614873
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L3657 Issued in OR
Practice address
2701 NW Vaughn St Ste 160
Portland, OR 97210-5344
Phone
(503) 499-5732
NPI assigned
Oct 17, 2008
Last updated
Oct 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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 L3657 OR Primary

Addresses

Primary practice location

2701 NW Vaughn St Ste 160
Portland, OR 97210-5344

Mailing address

7336 SE 17TH Ave
Portland, OR 97202-6121
Phone (503) 233-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050921000993 OR Practitioner - Clinical Social Worker 0143254995 Reassigns benefits to 2 organizations
I20210217003073 WA Practitioner - Clinical Social Worker 0143254995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogue Psych Consultants LLCGroup PAC ID 1850632415, 19 clinicians

Practice addresses (Care Compare)

5601 SE 122ND Ave
Portland, OR 97236-4601
Phone (503) 453-0269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L3657ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Psych Consultants, LLC CurrentSince Jan 1, 2026 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Social Worker CurrentSince Oct 28, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Social Worker CurrentSince Oct 28, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 28, 2020 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

835 Crater Lake Ave
Medford, OR 97504
Phone (541) 507-4141

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

5601 SE 122nd Ave
Portland, OR 97236
Phone (503) 760-6556

2701 NW Vaughn St
Ste 160
Portland, OR 97210
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1568614873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026121",
            "telephone_number": "503-233-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105344",
            "telephone_number": "503-499-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURITSEN",
        "first_name": "ANN",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L3657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.