NICOLE PHELPS LCSW
NPI 1366920316
Social Worker - Clinical in Oregon City, OR

Active since August 01, 2018Opted out of Medicare · through Feb 19, 2027
1713 PENN LN, OREGON CITY, OR 97045(503) 655-7725(503) 655-7720 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 18, 2022, Aug 1, 2018 (2 updates tracked since 2018).

About Nicole Phelps Lcsw NPPES

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

NICOLE PHELPS LCSW (NPI 1366920316) is an individual clinical provider in Oregon City, Oregon, licensed in Oregon (L10373) and active in the NPI registry since August 2018. She has opted out of Medicare through February 19, 2027 and maintains a secondary practice location in Lake Oswego.

NPPES Registry Identity

NPI1366920316
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE PHELPSCredential: LCSW
Location Address1713 PENN LNOregon City, OR 97045-1528
Mailing AddressPo Box 2044Lake Oswego, OR 97035-0631 · (503) 310-9405
Fax(503) 655-7720
Sole ProprietorNo
Enumeration DateAugust 1, 2018
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
NPI 1366920316 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 · L10373
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.

1713 PENN LN, Oregon City, OR 97045

Secondary Practice Location 1

Location 14800 Meadows Rd Ste 320Lake Oswego, OR 97035-4264 · Phone (971) 339-1662

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nicole Phelps Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2025 through February 19, 2027.

Opt-Out Effective DateFebruary 19, 2025
Opt-Out In Effect ThroughFebruary 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045
Counselor
1713 PENN LN
OREGON CITY, OR 97045
Nurse Practitioner (Pediatrics)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045
Nurse Practitioner (Family)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045
Social Worker (Clinical)
1713 PENN LN
OREGON CITY, OR 97045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366920316, enumerated as an "individual" on August 01, 2018.

The provider is located at 1713 PENN LN OREGON CITY, OR 97045 and the phone number is (503) 655-7725.

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

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.