Individual provider Active NPI

Csilla Elizabeth Andor, MSW, LCSW

  • Clinical Social Worker
  • Corvallis, OR
National Provider Identifier
1811052509
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3983 Issued in OR
Practice address
6282 SW Grand Oaks Dr
Corvallis, OR 97333-3975
Phone
(541) 231-4343
Fax
(503) 907-6503
NPI assigned
Dec 24, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS21405 CA
Clinical Social Worker 1041C0700X L3983 OR Primary

Addresses

Primary practice location

6282 SW Grand Oaks Dr
Corvallis, OR 97333-3975

Mailing address

6282 SW Grand Oaks Dr
Corvallis, OR 97333-3975
Phone (541) 231-4343

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
LCS21405CAMDClinical Social Worker
L3983ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alison Roffman LCSW LLC Clinical PastSince Oct 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1811052509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 SW GRAND OAKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973333975",
            "telephone_number": "541-231-4343",
            "fax_number": "503-907-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6282 SW GRAND OAKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973333975",
            "telephone_number": "541-231-4343",
            "fax_number": "503-907-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOR",
        "first_name": "CSILLA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21405",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.