Individual provider · Type 1 NPI

Kristen Kelley, CSWA

Clinical Social Worker · Clackamas, OR

NPI number 1376923060 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (805) 901-0962 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XA5600 (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 1376923060

Kristen Kelley, CSWA's National Provider Identifier is 1376923060, issued on Jun 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clackamas, OR. The record was last updated on Dec 24, 2021.