Individual provider · Type 1 NPI

Shane D. Kennington, LCSW

Clinical Social Worker · Portland, OR

NPI number 1174754493 Active

Practice location

1750 SW Skyline Blvd Ste 206
Portland, OR 97221-2545

Fax (971) 351-6851

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL7078 (OR)

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 1174754493

Shane D. Kennington, LCSW's National Provider Identifier is 1174754493, issued on Aug 4, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2023.