Individual provider · Type 1 NPI

Katheryn Cordova Jimenez, LCSW

Clinical Social Worker · Portland, OR

NPI number 1417400110 Active

Practice location

5932 NE Glisan St
Portland, OR 97213-3754

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XL10261 (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 1417400110

Katheryn Cordova Jimenez, LCSW's National Provider Identifier is 1417400110, issued on Jul 28, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Nov 24, 2025.