Marie Elizabeth Limpahan, LCSW L16249

Individual provider Active NPI Clinical Social Worker · Pahoa, HI

NPI 1780386136 · NPPES record last updated Mar 26, 2025

Key facts

NPI
1780386136
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
L16249 (OR)
Practice address
16-1904 Koloa Maoli Rd 9
Pahoa, HI 97224-7659
Phone
(503) 389-5529
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PC (654 clinicians)

Practice addresses (Care Compare)

11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984

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 IDStateProvider typePAC IDDetails
I20250402003185 OR Practitioner - Clinical Social Worker 7618490343 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
L16249ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Clinical Current
since Mar 25, 2025
Accepting new patients

Locations

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L16249 OR Yes

Addresses

Primary practice location

16-1904 Koloa Maoli Rd 9
Pahoa, HI 97224-7659

Mailing address

PO Box 1951
Pahoa, HI 96778-1951
Phone (503) 679-0240

Other providers in Pahoa, HI

All providers in Pahoa, HI · Clinical Social Worker in Hawaii

Sources for this page

Verify at the official NPI Registry.