Individual provider Active NPI

Elisha Codding, LCSW, CADCI

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1881079630
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7762 Issued in OR
Practice address
1110 SE Alder St Ste 301
Portland, OR 97214-2400
Phone
(971) 236-1255
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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 L7762 OR Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16-10-02 OR

Addresses

Primary practice location

1110 SE Alder St Ste 301
Portland, OR 97214-2400

Mailing address

1110 SE Alder St
Suite 301, PMB # 71
Portland, OR 97214
Phone (971) 236-1255

Other identifiers 2

IdentifierTypeStateIssuer
03500780466MedicaidOR
33500701842MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190108003523 OR Practitioner - Clinical Social Worker 3779829932 Reassigns benefits to 2 organizations
I20240807000531 WA Practitioner - Clinical Social Worker 3779829932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince May 20, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 20, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Counselor Current Accepting new patients
Cascadia Health Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Counselor CurrentSince Jul 10, 2024 Accepting new patients
Cascadia Health CurrentSince Dec 10, 2023 Accepting new patients
Revitalize Wellness Center Past Accepting new patients
Columbia Community Mental Health PastSince May 19, 2024 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

500 NE Multnomah St
Fl 11
Portland, OR 97232

10373 NE Hancock St
Ste 125
Portland, OR 97220
Phone (503) 253-6754

707 NW Everett St
Portland, OR 97209
Phone (503) 222-4906

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 8

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1881079630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER ST",
            "address_2": "SUITE 301, PMB # 71",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97214",
            "telephone_number": "971-236-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER ST STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "971-236-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODDING",
        "first_name": "ELISHA",
        "credential": "LCSW, CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7762",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "16-10-02",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03500780466",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33500701842",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.