Alysia Khendek

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10705 Issued in OR

Practice address

326 SE Marlin Ave
Warrenton, OR 97146-9624

Phone

(503) 325-0241

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shoreline Counseling LLCGroup PAC ID 4587985049, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shoreline Counseling LLC

  • Clinical Social Worker
  • Astoria, OR
  • NPI 1437548807
  Medicare reassignment Care Compare group NPD
• Clatsop Behavioral Healthcare

  • Mental Illness Community Based Residential Treatment Facility
  • Warrenton, OR
  • NPI 1760833313
  NPD (past)
• Columbia Lutheran Charities

  dba Lower Columbia Hospice

  • Community Based Hospice Care Agency
  • Astoria, OR
  • NPI 1023038858
  NPD (past)
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1932814704
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1578047783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N HIGHWAY 101 STE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469371",
            "telephone_number": "503-325-0241",
            "fax_number": "503-861-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SE MARLIN AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469624",
            "telephone_number": "503-325-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHENDEK",
        "first_name": "ALYSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kaliszewski
• Brenda Karr
• Christine Ann Kassinger, PHARM D
• Rodney Sadayoshi Katayama, DDS
• Faith Marie Kayes, MD, PHARMD
• Andrew King
• Faylene Klatt
• Juli Judene Knapp, BS, QMHA
• Melissa Knuppel
• Kurita Eye Care Inc

• Clinical Social Worker in Warrenton, OR
• Providers in Warrenton, 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 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.