Individual provider Active NPI

Amy Karr

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1841984291
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926166 Issued in CO
Practice address
5415 SW Westgate Dr
Portland, OR 97221-2409
Phone
(503) 645-3581
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926166 CO Primary

Addresses

Primary practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241014002165 OR Practitioner - Clinical Social Worker 4981142163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeworks NWGroup PAC ID 1850282575, 15 clinicians

Practice addresses (Care Compare)

14600 NW Cornell Rd
Portland, OR 97229-5442

5415 SW Westgate Dr
Portland, OR 97221-2409

971 SW Walnut St
Hillsboro, OR 97123-5651
Phone (503) 640-5297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09926166COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks NW CurrentSince Jul 11, 2024 Accepting new patients

Locations

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1841984291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212409",
            "telephone_number": "503-645-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARR",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.