Rebecca Witherow, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L5344 Issued in OR

Practice address

15220 NW Laidlaw Rd Ste 102
Portland, OR 97229-7717

Phone

(503) 418-2402

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1871891424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220 NW LAIDLAW RD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297717",
            "telephone_number": "503-418-2000",
            "fax_number": "503-494-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220 NW LAIDLAW RD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297717",
            "telephone_number": "503-418-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHEROW",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A2642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Witbeck, DNP, ARNP
• Leanne Michelle Witek, RD
• With Connection LLC
• With the Flow Psychotherapy, LLC
• Carolyn Marie Withee, DO
• April Katelle Withers, APRN
• Brenna Witherspoon
• Dikeeshea Witherspoon, CRM
• Cornelia Withington, M.D.
• Ariel Witkin, PT

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.