Kathleen D. Altieri, LCSW, CACIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L12979 Issued in OR

Practice address

620 Lone Oaks Loop
Silverton, OR 97381-1469

Phone

(925) 837-9253

NPI assigned

Aug 23, 2007

Last updated

Apr 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleen.altieri.1@28621.direct.athenahealth.com

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.

• Oregon Counseling Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silverton, OR
  • NPI 1467267690
  NPD

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1912190885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LONE OAKS LOOP",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811469",
            "telephone_number": "925-837-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LONE OAKS LOOP",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811469",
            "telephone_number": "925-837-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTIERI",
        "first_name": "KATHLEEN",
        "middle_name": "D.",
        "credential": "LCSW, CACIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "CACIII 6556",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "LCSW769",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L12979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan G. Carter, DMD, PC
• Nicollette Alderete, LCSW
• Allen Chiropractic Wellness Center P C
• Christopher Pruchnic Allen, D.C.
• Lindsay Taylor Allen
• Juanita Aniceto Vera
• Megan Aragon
• Assisted Living Concepts Inc (Davenport House)
• Audio Hearing Services
• Kimberly Sue-Ann Avery

• Clinical Social Worker in Silverton, OR
• Providers in Silverton, 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 Apr 2, 2022; 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.