ALISSA CLAIRE ELLSWORTH CSWA
NPI 1134866767
Social Worker - Clinical in Portland, OR

Q: What is Alissa Ellsworth's NPI number?

The NPI number for Alissa Ellsworth is 1134866767. It was assigned to this individual provider in the NPPES registry on May 16, 2022. The provider is also known as Alissa Claire Crossland.

Q: What is Alissa Ellsworth's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Alissa Ellsworth was last updated on June 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2022

1904 SE DIVISION ST, PORTLAND, OR 97202(503) 517-8663 Get Directions Write a Review

NPPES record last updated: June 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2024, May 16, 2022 (2 updates tracked since 2022).

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About Alissa Claire Ellsworth Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA CLAIRE ELLSWORTH CSWA (NPI 1134866767) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A13970) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1134866767

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameALISSA CLAIRE ELLSWORTHCredential: CSWA

Location Address1904 SE DIVISION STPortland, OR 97202-1146

Mailing Address1904 Se Division StPortland, OR 97202-1146 · (503) 517-8663

Phone(503) 517-8663

Sole ProprietorNo

Enumeration DateMay 16, 2022

Last NPPES UpdateJune 9, 20242 updates tracked since enumeration

NPPES CertifiedJune 9, 2024

✔ NPI 1134866767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · A13970

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1904 SE DIVISION ST, Portland, OR 97202

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Other Names 1

Former Name (1)Alissa Claire Crossland

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIRK FENTON

Counselor (Mental Health)