EMILY MARIE KETOLA (NPI# 1003141672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003141672 |
| Entity Type | Individual |
| Full Name | EMILY MARIE KETOLA |
| Credential | LCSW |
| Practice Address |
9775 Se Sunnyside Rd Ste 200 Clackamas OR 97015-5721 |
| Mailing Address |
2051 Kaen Rd Suite 367 Oregon City OR 97045-4035 |
| Practice Telephone | 5037943830 |
| Practice Fax Number | 5037943850 |
| Mailing Telephone | 5037425300 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2013-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L5681 | OR | Behavioral Health & Social Service Providers |
| Street Address |
9775 SE SUNNYSIDE RD STE 200 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801973664 | Karen Ann Kuryla | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2006-11-01 |
| 1700313871 | Clifford Daniel Heaberlin | Dentist | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2017-05-18 |
| 1558789636 | Jaime Bartholomew | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2014-04-04 |
| 1366876278 | Eunice L Weberg | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2013-08-27 |
| 1891042487 | Clackamas County | Clinic/Center | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-08-14 |
| 1245594365 | Emily Stewart | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-07-03 |
| 1265794135 | Angie Pagano | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-06-15 |
| 1871855601 | Jennifer Haynes | Case Manager/Care Coordinator | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2012-06-07 |
| 1144516253 | Cheryl Ann Calcagno | Nurse Practitioner | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2011-06-27 |
| 1003140674 | Wendy Anne Batchelor Smith | Registered Nurse | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2009-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969424 | Virago Counseling | Social Worker | 13720 Se 117th Ct, Clackamas, OR 97015-8611 | 2020-04-01 |
| 1265749311 | Leiora Kortvely | Social Worker | 15431 Se 82nd Dr Ste L, Clackamas, OR 97015-9675 | 2010-09-10 |
| 1881830412 | Journey of Hope | Social Worker | 8305 Se Monterey Ave Ste 200, Clackamas, OR 97086-7753 | 2009-01-03 |
| 1437324621 | Elisa Ananda Uris | Social Worker | 10180 Se Sunnyside Rd # Winga, Clackamas, OR 97015-8970 | 2008-04-28 |
| 1588797138 | Kaiser Permanente | Social Worker | Kaiser Permanente Mt Scott Office, 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2007-03-13 |
| 1871141812 | Misty Theresa Auld | Social Worker | 12901 Se 97th Ave Ste 340, Clackamas, OR 97015-7903 | 2019-09-03 |
| 1871140913 | Hayley Weed | Social Worker | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2019-08-22 |
| 1457810525 | Caloway Carroll | Social Worker | 12901 Se 97th Ave Ste 340, Clackamas, OR 97015-7903 | 2019-03-18 |
| 1952881955 | Jennifer Hopping-winn | Social Worker | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2018-08-19 |
| 1447765250 | Douglas Banasky | Social Worker | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2017-12-04 |
| Find all providers in CLACKAMAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.