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

Q: 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.

Q: What is Jeffrey Kiilsgaard's specialty?

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

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: August 09, 2026.

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

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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 BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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