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KELLY FREEBURG LCSW
NPI 1689567414
Social Worker - Clinical in Portland, OR

Active since May 30, 2025PECOS Enrolled
700 SW CAMPUS DR, PORTLAND, OR 97239(503) 418-5753 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Freeburg Lcsw NPPES

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

KELLY FREEBURG LCSW (NPI 1689567414) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L8318) and active in the NPI registry since May 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689567414
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameKELLY FREEBURGCredential: LCSW
Location Address700 SW CAMPUS DRPortland, OR 97239-3107
Mailing Address3181 Sw Sam Jackson Park Rd # Uhs-8lPortland, OR 97239-3011 · (503) 418-5753
Phone(503) 418-5753
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1689567414 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 · L8318
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.
700 SW CAMPUS DR, 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

✔

Enrolled in Medicare (PECOS)

Kelly Freeburg Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971099151
PECOS Enrollment IDI20251226002207
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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.

MRS. APRIL D MITSCH RD
Dietitian, Registered
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 494-8362
ASHLEY AMBER LY OTD, OTD/L
Occupational Therapist (Pediatrics)
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 406-0640
JORGE RIVERA MD
Student in an Organized Health Care Education/Training Program
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (971) 284-8337
LEIANA LYNN DE LA PAZ
Psychologist (Clinical Child & Adolescent)
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 346-0640
MICHELLE FALCONE MD
Student in an Organized Health Care Education/Training Program
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 418-5700
ISATOU SYLLA
Community Health Worker
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 418-5700
DR. KATHERINE E STRIBLING DPT
Physical Therapist
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 418-5458
NICOLE MARIE FASSIOTTO
Physical Therapist
700 SW CAMPUS DR
PORTLAND, OR 97239
Multnomah County (503) 494-3151

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 Kelly Freeburg's NPI number?

The NPI number for Kelly Freeburg is 1689567414. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Kelly Freeburg located?

Kelly Freeburg practices at 700 SW Campus Dr, Portland, OR 97239. The listed phone number is (503) 418-5753.

What is Kelly Freeburg's specialty?

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

Is Kelly Freeburg enrolled in Medicare?

Yes. Kelly Freeburg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Freeburg was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.