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MR. DAVID EBAUGH LCSW
NPI 1619015153
Social Worker - Clinical in Portland, OR

Active since February 04, 2007Opted out of Medicare · through May 14, 2028
2303 E BURNSIDE ST, PORTLAND, OR 97214(503) 245-3370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. David Ebaugh Lcsw NPPES

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

MR. DAVID EBAUGH LCSW (NPI 1619015153) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L003678) and active in the NPI registry since February 2007. He has opted out of Medicare through May 14, 2028.

NPPES Registry Identity

NPI1619015153
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DAVID EBAUGHCredential: LCSW
Location Address2303 E BURNSIDE STPortland, OR 97214-1655
Mailing Address6315 N Campbell AvePortland, OR 97217-4914 · (503) 345-3370
Phone(503) 245-3370
Sole ProprietorYes
Enumeration DateFebruary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619015153 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 · L003678
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.
2303 E BURNSIDE ST, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

Mr. David Ebaugh 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 May 14, 2020 through May 14, 2028.

Opt-Out Effective DateMay 14, 2020
Opt-Out In Effect ThroughMay 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

BETHANY KOSMOWSKI KAY LMT
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 213-6970
MARY FORD LMT
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 287-7733
MRS. MOLLY GRACE REA LMT
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 213-6970
MICHELLE MARIE CALDWELL
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 287-7733
CLAIRE ELIZABETH MELBOURNE LMT
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 213-6970
MRS. KATHRYN OLIVIA KLOOS ND, LMT
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 827-3644
MS. RUTH E BERGER LCSW
Social Worker (Clinical)
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 827-3644
JOY ELIZABETH PACETTI
Massage Therapist
2303 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 287-7733

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 David Ebaugh's NPI number?

The NPI number for David Ebaugh is 1619015153. It was assigned to this individual provider in the NPPES registry on February 4, 2007.

Where is David Ebaugh located?

David Ebaugh practices at 2303 E Burnside St, Portland, OR 97214. The listed phone number is (503) 245-3370.

What is David Ebaugh's specialty?

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

Is David Ebaugh enrolled in Medicare?

No. David Ebaugh has opted out of Medicare through May 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does David Ebaugh accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list David Ebaugh 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 David Ebaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.