Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Ross Goodwin

Individual provider Social Worker · NPI 1467068999

Kelly Ross Goodwin is a Clinical Social Worker in Redmond, Oregon. Qualified in 2012, 14 years ago. Practices with St Charles Health System Inc, a 177-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

916 SW 17th St Ste 202
Redmond, OR 97756-2572
Phone: (541) 706-2768
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L6491 (OR)
Social Worker Taxonomy 104100000X · Licence 6491 (OR)

Record details

NPI number1467068999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2020
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022
Mailing address2500 Ne Neff Rd, Bend, OR 97701-6015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice St Charles Health System Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Redmond