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KATE MCNULTY LCSW
NPI 1457335341
Social Worker - Clinical in Portland, OR

Active since December 03, 2005Opted out of Medicare · through Apr 1, 2027
5200 SOUTH MACADAM AVENUE, SUITE 550, PORTLAND, OR 97239(503) 312-6788 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kate Mcnulty Lcsw NPPES

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

KATE MCNULTY LCSW (NPI 1457335341) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1201) and active in the NPI registry since December 2005. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1457335341
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATE MCNULTYCredential: LCSW
Location Address5200 SOUTH MACADAM AVENUE, SUITE 550Portland, OR 97239
Mailing Address4110 Se Hawthorne Blvd # 324Portland, OR 97214-5246 · (503) 312-6788
Phone(503) 312-6788
Sole ProprietorYes
Enumeration DateDecember 3, 2005
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1457335341 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 · 1201
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.
5200 SOUTH MACADAM AVENUE, Portland, OR 97239
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kate Mcnulty 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 April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kate Mcnulty's NPI number?

The NPI number for Kate Mcnulty is 1457335341. It was assigned to this individual provider in the NPPES registry on December 3, 2005.

Where is Kate Mcnulty located?

Kate Mcnulty practices at 5200 South Macadam Avenue Suite 550, Portland, OR 97239. The listed phone number is (503) 312-6788.

What is Kate Mcnulty's specialty?

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

Is Kate Mcnulty enrolled in Medicare?

No. Kate Mcnulty has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kate Mcnulty was last updated on January 30, 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.