Individual provider · Type 1 NPI

Kevin Richard Jones, PhD

Clinical Social Worker · Portland, OR

NPI number 1467063370 Active

Practice location

12672 SE Stark St
Portland, OR 97233-1058

Call (541) 904-5216 Map

Fax (541) 527-4347

Mailing address

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

Other practice locations

  • 2225 NE Martin Luther King Jr Blvd Ste 207, Portland, OR 97212-3727 · (503) 490-1823

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11378 (OR)
Mental Health Counselor 101YM0800XA5201 (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 1467063370

Kevin Richard Jones, PhD's National Provider Identifier is 1467063370, issued on Aug 13, 2020. 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 5, 2025.