IndividualActive
Annaliese Ellsworth, LCSW, MSW
NPI 1164838116 · Clinical Social Worker · Canby, OR
Provider details
- NPI number
- 1164838116
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, MSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L7267 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Nw 3rd Ave Ste Bandc
Canby, OR 97013
Phone: (503) 342-2510
Fax: (503) 406-2637
Street-level locationGet directions
Mailing address
7100 Sw Hampton St Ste 128&129
Tigard, OR 97223-8315
Additional practice locations (2)
- 10424 Se Cherry Blossom Dr Ste Cd&ePortland, OR 97216-2801Phone: (503) 342-2510
- 14600 Nw Cornell RdPortland, OR 97229-5442Phone: (503) 645-3581
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2018-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.