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JEFFREY ALLEN KIILSGAARD LCSW, LICSW, ACSW
NPI 1881074904
Social Worker in Seattle, WA

Active since June 03, 2015PECOS Enrolled
1455 NW LEARY WAY STE 400, SEATTLE, WA 98107(253) 370-8980(503) 966-0849 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2025, Nov 9, 2022, Jan 19, 2019 (3 updates tracked since 2019).

About Jeffrey Allen Kiilsgaard Lcsw, Licsw, Acsw NPPES

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

JEFFREY ALLEN KIILSGAARD LCSW, LICSW, ACSW (NPI 1881074904) is an individual social worker in Seattle, Washington, licensed in Oregon (10839) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1881074904
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJEFFREY ALLEN KIILSGAARDCredential: LCSW, LICSW, ACSW
Location Address1455 NW LEARY WAY STE 400Seattle, WA 98107-5138
Mailing Address10260 Sw Greenburg Rd Fl 4Portland, OR 97223-5500 · (253) 368-3255 · Fax (503) 966-0849
Phone(253) 370-8980
Fax(503) 966-0849
Sole ProprietorYes
Enumeration DateJune 3, 2015
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1881074904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OR · 10839
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1455 NW LEARY WAY STE 400, Seattle, WA 98107
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Secondary Practice Location 1

Location 14800 S MacAdam Ave Ste 110Portland, OR 97239-3929 · Phone (253) 368-3255 · Fax (503) 966-0849

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Allen Kiilsgaard Lcsw, Licsw, Acsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jeffrey Kiilsgaard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Humanistic Therapy NW
34 mi
Social Worker
9240 TACOMA AVE S
Tacoma, WA 98444
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1568211217 (253) 370-8980

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

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.

THOMAS MICHAEL WYANT
Behavior Technician
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (206) 504-3815
MARTHE ALCIDE
Behavior Technician
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (206) 504-3815
KAYLA MARIE HERNANDEZ LMHC
Counselor (Mental Health)
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (253) 235-1182
MELANIE MARTINEZ NONE
Behavior Technician
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (206) 504-3815
ALEXANDRA JULIET STRINGER
Behavior Analyst
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (206) 504-3815
DR. MARY AMANDA GRAHAM PHD, NCC, LMHC
Counselor
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (253) 861-2663
KATHERINE MELTON
Behavior Technician
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (206) 504-3815
NICOLE LYNN HUCKEBA
Behavior Technician
1455 NW LEARY WAY STE 400
SEATTLE, WA 98107
King County (206) 504-3815

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 Jeffrey Kiilsgaard's NPI number?

The NPI number for Jeffrey Kiilsgaard is 1881074904. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Jeffrey Kiilsgaard located?

Jeffrey Kiilsgaard practices at 1455 NW Leary Way Ste 400, Seattle, WA 98107. The listed phone number is (253) 370-8980.

What is Jeffrey Kiilsgaard's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jeffrey Kiilsgaard enrolled in Medicare?

Yes. Jeffrey Kiilsgaard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Kiilsgaard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Kiilsgaard reassigns Medicare benefits to Humanistic Therapy NW (Tacoma, WA). The 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 Jeffrey Kiilsgaard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Kiilsgaard accept?

Health plans from Ambetter Health, BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Jeffrey Kiilsgaard 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 Jeffrey Kiilsgaard was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.