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ANNALIESE DIANNA ELLSWORTH LCSW, MSW
NPI 1164838116
Social Worker - Clinical in Canby, OR

Active since July 09, 2014
550 NW 3RD AVE STE BANDC, CANBY, OR 97013(503) 342-2510(503) 406-2637 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Annaliese Dianna Ellsworth Lcsw, Msw NPPES

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

ANNALIESE DIANNA ELLSWORTH LCSW, MSW (NPI 1164838116) is an individual clinical provider in Canby, Oregon, licensed in Oregon (L7267) and active in the NPI registry since July 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164838116
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNALIESE DIANNA ELLSWORTHCredential: LCSW, MSW
Location Address550 NW 3RD AVE STE BANDCCanby, OR 97013
Mailing Address7100 Sw Hampton St Ste 128&129Tigard, OR 97223-8315 · (503) 342-2510 · Fax (503) 406-2637
Phone(503) 342-2510
Fax(503) 406-2637
Sole ProprietorYes
Enumeration DateJuly 9, 2014
Last NPPES UpdateMay 24, 2018
✔ NPI 1164838116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L7267
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.
550 NW 3RD AVE STE BANDC, Canby, OR 97013
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Secondary Practice Locations 2

Location 114600 NW Cornell RdPortland, OR 97229-5442 · Phone (503) 645-3581
Location 210424 SE Cherry Blossom Dr Ste Cd&ePortland, OR 97216-2801 · Phone (503) 342-2510

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annaliese Ellsworth's NPI number?

The NPI number for Annaliese Ellsworth is 1164838116. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Annaliese Ellsworth located?

Annaliese Ellsworth practices at 550 NW 3rd Ave Ste Bandc, Canby, OR 97013. The listed phone number is (503) 342-2510.

What is Annaliese Ellsworth's specialty?

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

What insurance does Annaliese Ellsworth accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Annaliese Ellsworth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Annaliese Ellsworth was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.