Active NPI
Katia Duncan
- Clinical Social Worker
- Keizer, OR
National Provider Identifier
1922407840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L12413
- Practice address
- 5305 River Rd N Ste B
Keizer, OR 97303-5324 - Phone
- (520) 977-9103
- NPI assigned
- Aug 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | L12413 | OR | Primary |
Addresses
Primary practice location
5305 River Rd N Ste B
Keizer, OR 97303-5324
Mailing address
1903 NE Couch St
Portland, OR 97232-3022
Phone (520) 977-9103
Other practice location 1
1530 W 13th Ave
Denver, CO 80204-2402
Phone (303) 225-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L12413 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1922407840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 NE COUCH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972323022",
"telephone_number": "520-977-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5305 RIVER RD N STE B",
"city": "KEIZER",
"state": "OR",
"postal_code": "973035324",
"telephone_number": "520-977-9103"
}
],
"practiceLocations": [
{
"address_1": "1530 W 13th Ave",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802042402",
"country_code": "US",
"telephone_number": "303-225-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "KATIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-15",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L12413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.