Kathleen D. Altieri, LCSW, CACIII
Individual provider Active NPI Clinical Social Worker · Silverton, OR
NPI 1912190885 · NPPES record last updated Apr 2, 2022
Key facts
- NPI
- 1912190885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- L12979 (OR)
- Practice address
- 620 Lone Oaks Loop
Silverton, OR 97381-1469 - Phone
- (925) 837-9253
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CACIII 6556 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW769 | CO | MD | Clinical Social Worker |
| L12979 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Counseling Collective | Current |
Accepting new patients |
Interoperability endpoints
- kathleen.altieri.1@28621.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACIII 6556 | CO | |
| Clinical Social Worker | 1041C0700X | LCSW769 | CO | |
| Clinical Social Worker | 1041C0700X | L12979 | OR | Yes |
Addresses
Primary practice location
620 Lone Oaks Loop
Silverton, OR 97381-1469
Mailing address
620 Lone Oaks Loop
Silverton, OR 97381-1469
Phone (925) 837-9253
Other providers in Silverton, OR
- Alan G. Carter, DMD, PC
- Nicollette Alderete
- Allen Chiropractic Wellness Center P C
- Christopher Pruchnic Allen
- Lindsay Taylor Allen
- Juanita Aniceto Vera
- Megan Aragon
- Assisted Living Concepts Inc
- Audio Hearing Services
- Kimberly Sue-Ann Avery
All providers in Silverton, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.