Individual provider · Type 1 NPI

Kristy Regan

Clinical Social Worker · Portland, OR

NPI number 1124779442 Active

Practice location

2901 E Burnside St
Portland, OR 97214-1831

Call (503) 953-0310 Map

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014

Other practice locations

  • 2130 SW Jefferson St Ste 200, Portland, OR 97201-7710 · (971) 266-6910

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XL16422 (OR)
Nutritionist 133N00000XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1124779442

Kristy Regan's National Provider Identifier is 1124779442, issued on Jan 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on May 12, 2025.