Individual provider · Type 1 NPI

Rebecca Amethyst Kinman, LCSW

Clinical Social Worker · Portland, OR

NPI number 1497489280 Active

Practice location

2404 SE 113th Ave
Portland, OR 97216-4042

Call (971) 258-0220 Map

Fax (971) 484-4002

Mailing address

2404 SE 113th Ave Apt A
Portland, OR 97216-4042

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL16209 (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…

Another provider at this address

Other clinical social worker providers in Portland

See all in Portland →

About NPI 1497489280

Rebecca Amethyst Kinman, LCSW's National Provider Identifier is 1497489280, issued on Jul 15, 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 Mar 16, 2026.