KRISTA LYNN GAUTSCHE (LCSW) – Clinical Social Worker, NPI 1073812996
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,405 CLINICAL SOCIAL WORKER in OR
Provider Addresses for KRISTA LYNN GAUTSCHE (LCSW)
916 SW King Ave Ste 206
Portland, OR 972051332
Phone: (503) 841-8678
Type: Location
10373 NE HANCOCK ST
PORTLAND, OR 972203873
Phone: (503) 238-0769
Fax: (503) 552-6208
Type: Location
916 SW KING AVE STE 206
PORTLAND, OR 972051332
Phone: (503) 841-8678
Type: Mailing
2525 NW LOVEJOY ST
PORTLAND, OR 972102859
Phone: (503) 563-3420
Fax: (971) 209-7262
Type: Location
PO BOX 8459
PORTLAND, OR 972078459
Phone: (503) 238-0769
Fax: (503) 552-6208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140211000874 | I | Clinical Social Worker | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97205)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OR | |
| - | WA | |
| - | OR | |
| Clinical Psychologist | OR | |
| Psychiatry, Neuropsychiatry | WA | |
| Clinical Social Worker | CA | |
| Clinical Psychologist | WA | |
| Clinical Social Worker | OR | |
| - | OR | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.