Kathleen Pollard-Brue
Individual provider Active NPI Clinical Social Worker · Baker City, OR
NPI 1669986691 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1669986691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L17663 (OR)
- Practice address
- 3425 13TH St
Baker City, OR 97814-1340 - Phone
- (541) 523-7400
- Fax
- (541) 523-4927
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Directions Northwest Inc
Practice addresses (Care Compare)
3425 13TH St
Baker City, OR 97814-1340
Phone (541) 523-7400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260312003361 | OR | Practitioner - Clinical Social Worker | 0547743056 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L17663 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Current |
Accepting new patients | |
| New Directions Northwest, Inc | Current |
Accepting new patients |
Locations
211 SW 1st St
Pendleton, OR 97801
Phone (541) 276-6330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | L17663 | OR | Yes |
Addresses
Primary practice location
3425 13TH St
Baker City, OR 97814-1340
Mailing address
3425 13TH St
Baker City, OR 97814-1340
Phone (541) 523-7400
Other providers in Baker City, OR
- Pioneer Ambulance, Inc
- Gregory Warren Plano
- Makayla Nichole Plumbtree
- Janet Plumley
- Savannah Lee Podliska
- Tovah Potter
- Emily Alexandria Prevo
- Edward Briton Price
- Candis A Prince
- James W Pritchett
All providers in Baker City, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.