Individual provider · Type 1 NPI

Hollis Benjamin Kinner Iv, CSWA, LMSW

Clinical Social Worker · Portland, OR

NPI number 1497616072 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 813-7755 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA17063 (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 1497616072

Hollis Benjamin Kinner Iv, CSWA, LMSW's National Provider Identifier is 1497616072, issued on Nov 21, 2025. 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 21, 2025.