KELSEY JO HERGERT LCSW, LICSW
NPI 1164043741
Social Worker - Clinical in Portland, OR

NPI Status: Active since May 05, 2020

Contact Information

319 SW WASHINGTON ST STE 1001
PORTLAND, OR
ZIP 97204
Phone: (971) 202-0677

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Accepts Insurance

About KELSEY HERGERT

This page provides the complete NPI Profile along with additional information for Kelsey Hergert, a provider established in Portland, Oregon with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1164043741 assigned on May 2020. The practitioner's primary taxonomy code is 1041C0700X with license number LW61448326 (WA). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1164043741
Provider Name
KELSEY JO HERGERT LCSW, LICSW
Other Name
KELSEY JO ZETTLE LCSW, LICSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
319 SW WASHINGTON ST STE 1001 PORTLAND, OR 97204
Location Phone
(971) 202-0677
Mailing Address
319 SW WASHINGTON ST STE 1001 PORTLAND, OR 97204
Mailing Phone
(970) 202-0565
Is Sole Proprietor?
Yes
Enumeration Date
05-05-2020
Last Update Date
03-12-2026
Code Navigator

A clinical social worker like Kelsey Hergert is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LW61448326
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

L14142 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164043741, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 0 + 4 + 6 + 7 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1164043741.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Chiropractor
319 SW WASHINGTON ST STE 1001
PORTLAND, OR 97204
Counselor
319 SW WASHINGTON ST STE 1001
PORTLAND, OR 97204
Social Worker
319 SW WASHINGTON ST STE 1001
PORTLAND, OR 97204
Counselor (Mental Health)
319 SW WASHINGTON ST STE 1001
PORTLAND, OR 97204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164043741, enumerated as an "individual" on May 05, 2020.

The provider is located at 319 SW WASHINGTON ST STE 1001 PORTLAND, OR 97204 and the phone number is (971) 202-0677.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.