Active NPI
Elaine Kovacs
- Clinical Social Worker
- Beaverton, OR
National Provider Identifier
1720435100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L13956
- Practice address
- 10700 SW Beaverton Hillsdale Hwy
Building 3, Suite 560
Beaverton, OR 97005 - Phone
- (503) 298-5362
- NPI assigned
- May 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW007273 | GA | |
| Clinical Social Worker | 1041C0700X | L13956 | OR | Primary |
Addresses
Primary practice location
10700 SW Beaverton Hillsdale Hwy
Building 3, Suite 560
Beaverton, OR 97005
Mailing address
10700 SW Beaverton Hillsdale Hwy
BLDG 3, Suite 560
Beaverton, OR 97005
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240402001977 | OR | Practitioner - Clinical Social Worker | 7911309141 | Practice locations: Beaverton, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10700 SW Beaverton Hillsdale Hwy
Suite 560
Beaverton, OR 97005-4791
Phone (503) 298-5362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifting Clouds Therapy | Current | Accepting new patients |
Locations
10700 SW Beaverton Hillsdale Hwy
Ste 560
Beaverton, OR 97005
Phone (503) 230-7007
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Beaverton, OR
- NPI 1639947278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1720435100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY",
"address_2": "BLDG 3, SUITE 560",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 SW BEAVERTON HILLSDALE HWY",
"address_2": "BUILDING 3, SUITE 560",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97005",
"telephone_number": "503-298-5362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW007273",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L13956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.