ANNALIESE DIANNA ELLSWORTH (NPI# 1164838116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164838116 |
| Entity Type | Individual |
| Full Name | ANNALIESE DIANNA ELLSWORTH |
| Credential | LCSW, MSW |
| Practice Address |
550 Nw 3rd Ave Ste Bandc Canby OR 97013 |
| Mailing Address |
7100 Sw Hampton St Ste 128&129 Tigard OR 97223-8315 |
| Practice Telephone | 5033422510 |
| Practice Fax Number | 5034062637 |
| Mailing Telephone | 5033422510 |
| Mailing Fax Number | 5034062637 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L7267 | OR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14600 Nw Cornell Rd, Portland, OR 972295442 | 5036453581 | |
| 10424 Se Cherry Blossom Dr Ste Cd&e, Portland, OR 972162801 | 5033422510 |
| Street Address |
550 NW 3RD AVE STE BANDC |
| City | CANBY |
| State | OR |
| Zip Code | 97013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634314 | Clackamas County School District 86 | Local Education Agency (LEA) | 1130 S Ivy Street, Canby, OR 97013 | 2019-02-06 |
| 1669924502 | Brigid Marie-crotty Piccolotti | Speech-Language Pathologist | 344 N Holly St, Canby, OR 97013 | 2016-10-26 |
| 1497150247 | Speech With Sarah - LLC | Speech-Language Pathologist | 366 N. Holly St., Canby, OR 97013 | 2014-10-22 |
| 1639500804 | Alison Johnson | Social Worker | 11303 S Mulino Rd, Canby, OR 97013 | 2013-12-12 |
| 1184975260 | Tara Marie Mcgarry | Psychologist | 1433 Se 1st Ave, Canby, OR 97013 | 2012-09-28 |
| 1235488842 | Natalie Jackson Ballas | Dentist | 300 N Holly Street, Canby, OR 97013 | 2012-08-29 |
| 1699021667 | Canby Clinic | Naturopath | 452 Nw 1st Avenue, Canby, OR 97013 | 2012-07-27 |
| 1518231950 | Kyle Greer | Pharmacist | 1401 Se First, Canby, OR 97013 | 2012-03-02 |
| 1912284027 | Julie Michelle Francis | Counselor | 1655 S. Elm St #508, Canby, OR 97013 | 2011-11-03 |
| 1841503315 | Kathryn Eileen Brandt | Speech-Language Pathologist | 1577 South Ivy St., Canby, OR 97013 | 2010-07-26 |
| Find all providers in zip 97013 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447650031 | Trevor Lockwood | Social Worker | 721 Sw 4th Ave, Canby, OR 97013-3908 | 2014-09-02 |
| 1639500804 | Alison Johnson | Social Worker | 11303 S Mulino Rd, Canby, OR 97013 | 2013-12-12 |
| 1437650553 | Alison Johnson | Social Worker | 11303 S Mulino Rd, Canby, OR 97013 | 2018-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1013516574 | Kathleen Elizabeth Preuss | Social Worker | 14075 Sw Chinn Ln Apt 337, Tigard, OR 97224-0934 | 2020-10-25 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1740887249 | Bethany Anne Harvey | Social Worker | 14020 Se Briggs St, Milwaukie, OR 97267-1503 | 2020-10-07 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.