Active NPI
Kathryn R Ridgeway, LCSW
- Clinical Social Worker
- Lake Oswego, OR
National Provider Identifier
1689926974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CANDIDATE | OR | MD | Addiction (Substance Use Disorder) Counselor |
| LSW.0009921498 | CO | MD | Social Worker |
| L8005 | OR | MD | Clinical 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.