Individual provider Active NPI

Ellen Louise Kathrein, LCSW

  • Clinical Social Worker
  • Salem, OR
National Provider Identifier
1952976284
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L15623 Issued in OR
Practice address
1233 Edgewater St NW Ste B
Salem, OR 97304-4049
Phone
(503) 378-7526
Fax
(503) 480-1611
NPI assigned
May 20, 2021
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PO15215 NC
Clinical Social Worker 1041C0700X P015215 NC
Clinical Social Worker 1041C0700X L15623 OR Primary

Addresses

Primary practice location

1233 Edgewater St NW Ste B
Salem, OR 97304-4049

Mailing address

1233 Edgewater St NW Ste B
Salem, OR 97304-4049
Phone (503) 378-7526

Other practice location 1

125 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 398-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250417002488 OR Practitioner - Clinical Social Worker 6103288857

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Human Services IncGroup PAC ID 7012825797, shared by 5 NPIs, 33 clinicians

Practice addresses (Care Compare)

1233 Edgewater St NW
Salem, OR 97304-4049
Phone (503) 378-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO15215NCMDMental Health Counselor
P015215NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Human Services, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Northwest Human Services, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Northwest Human Services, Inc. Past Accepting new patients

Locations

180 Atwater St N
Monmouth, OR 97361
Phone (503) 378-7526

1233 Edgewater St NW
Salem, OR 97304
Phone (503) 378-7526

1233 Edgewater St NW
Ste B
Salem, OR 97304
Phone (503) 378-7526

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1952976284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 EDGEWATER ST NW STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-480-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EDGEWATER ST NW STE B",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044049",
            "telephone_number": "503-378-7526",
            "fax_number": "503-480-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "828-398-3601",
            "fax_number": "828-333-5465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATHREIN",
        "first_name": "ELLEN",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "PO15215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.