Individual provider · Type 1 NPI

Kelly Amanda Irish

Clinical Social Worker · Portland, OR

NPI number 1659020154 Active

Practice location

209 SW 4th Ave Ste 520
Portland, OR 97204-1825

Call (971) 526-7349 Map

Mailing address

5859 SE 92nd Ave Apt 204
Portland, OR 97266-4675

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA4109 (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 1659020154

Kelly Amanda Irish's National Provider Identifier is 1659020154, issued on Mar 22, 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 Sep 30, 2026.