Individual provider · Type 1 NPI

Kevin Robert Minor, LCSW

Clinical Social Worker · Portland, OR

NPI number 1720305121 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X27163 (CA)
Mental Health Counselor 101YM0800X27163 (CA)
Clinical Social Worker 1041C0700X29596 (CA)
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL6933 (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 1720305121

Kevin Robert Minor, LCSW's National Provider Identifier is 1720305121, issued on Apr 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Apr 15, 2016.