DENISE STERRY BABAWALE
NPI 1518434166
Social Worker - Clinical in Portland, OR

Active since October 31, 2018PECOS EnrolledAccepts Medicare Assignment
11035 NE SANDY BLVD, PORTLAND, OR 97220(503) 258-4200 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2025, Apr 13, 2021, Apr 9, 2021 and 2 more (5 updates tracked since 2018).

About Denise Sterry Babawale NPPES

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

DENISE STERRY BABAWALE (NPI 1518434166) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L17025) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1518434166
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDENISE STERRY BABAWALE
Location Address11035 NE SANDY BLVDPortland, OR 97220-2553
Mailing Address11035 Ne Sandy BlvdPortland, OR 97220-2553 · (503) 258-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 31, 2018
Last NPPES UpdateOctober 6, 20255 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1518434166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L17025
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
11035 NE SANDY BLVD, Portland, OR 97220

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denise Sterry Babawale is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072884642
PECOS Enrollment IDI20250926004078
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Denise Babawale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
10 PIER 1 STE 204
Astoria, OR 97103
  • Reassigned Medicare billing, Oregon enrollment
  • 35 clinicians in this Medicare group
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Marriage & Family Therapist
11035 NE SANDY BLVD
PORTLAND, OR 97220
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Case Manager/Care Coordinator
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor (Mental Health)
11035 NE SANDY BLVD
PORTLAND, OR 97220
Counselor
11035 NE SANDY BLVD
PORTLAND, OR 97220

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 Denise Babawale's NPI number?

The NPI number for Denise Babawale is 1518434166. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Where is Denise Babawale located?

Denise Babawale practices at 11035 NE Sandy Blvd, Portland, OR 97220. The listed phone number is (503) 258-4200.

What is Denise Babawale's specialty?

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

Is Denise Babawale enrolled in Medicare?

Yes. Denise Babawale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Denise Babawale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Babawale reassigns Medicare benefits to 2 organizations: Shoreline Counseling LLC (Astoria, OR) and Mindful Therapy Group PC (Mountlake Terrace, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denise Babawale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Babawale accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Denise Babawale 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 Denise Babawale was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.