Individual provider Active NPI

Kathryn R Ridgeway, LCSW

  • Clinical Social Worker
  • Lake Oswego, OR
National Provider Identifier
1689926974
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8005 Issued in OR
Practice address
4800 Meadows Rd Ste 300
Lake Oswego, OR 97035-5277
Phone
(971) 201-1720
Fax
(503) 210-9250
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L8005 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CANDIDATE OR
Social Worker 104100000X
Social Worker 104100000X LSW.0009921498 CO

Addresses

Primary practice location

4800 Meadows Rd Ste 300
Lake Oswego, OR 97035-5277

Mailing address

4800 Meadows Rd Ste 300
Lake Oswego, OR 97035-5277
Phone (971) 201-1720

Other practice location 1

7886 SE 13th Ave
Portland, OR 97202-6300
Phone (503) 956-9396

Other names 1

  • Katie Ridgeway Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CANDIDATEORMDAddiction (Substance Use Disorder) Counselor
LSW.0009921498COMDSocial Worker
L8005ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1689926974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355277",
            "telephone_number": "971-201-1720",
            "fax_number": "503-210-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEADOWS RD STE 300",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355277",
            "telephone_number": "971-201-1720",
            "fax_number": "503-210-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7886 SE 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026300",
            "country_code": "US",
            "telephone_number": "503-956-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8005",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CANDIDATE",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009921498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "RIDGEWAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.