KIMBERLY SPENCER (NPI# 1588174569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588174569 |
| Entity Type | Individual |
| Full Name | KIMBERLY SPENCER |
| Practice Address |
1507 Ne 122nd Ave Portland OR 97230 |
| Mailing Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
| Practice Telephone | 5032584200 |
| Mailing Telephone | 5032584200 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639610058 | Kimberly Ellen Spencer | Marriage & Family Therapist | 290 Technology Way Ste 300, Rocklin, CA 95765-1216 | 2017-03-18 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1972851889 | Kimberly Spencer | Social Worker | 2711 West 15th Street, Panama City, FL 32401 | 2012-08-27 |
| 1548516917 | Kimberly Ann Spencer | Occupational Therapy Assistant | 408 S Lincoln St, Philo, IL 61864-9761 | 2012-08-03 |
| 1316323850 | Kimberly Spencer | Nurse Practitioner | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2015-08-06 |
| 1396139069 | Kimberly Spencer | Physician Assistant | 16101 Evans St, Suite 100, Omaha, NE 68116-6447 | 2015-03-20 |
| 1730599523 | Kimberly Spencer | Counselor | 11 Union St, Lawrence, MA 01840-1815 | 2014-05-01 |
| 1477996783 | Kimberly Spencer | Specialist/Technologist | 861 Auto Center Dr., #d, Palmdale, CA 93551 | 2013-04-17 |
| 1710139654 | Kimberly L. Spencer | Registered Nurse | 176 Virginia Avenue, Rochester, PA 15074-1723 | 2008-10-22 |
| 1780721811 | Kimberly D Spencer | Registered Nurse | 2500 Charlotte Ave, Nashville, TN 37209-4129 | 2007-01-30 |
| Street Address |
1507 NE 122ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821122391 | Christopher Wade Ferguson | Counselor | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2007-03-15 |
| 1003427915 | April Charee Jackson | Social Worker | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2020-08-13 |
| 1942849088 | Rachel Marie Adkins | Student in an Organized Health Care Education/Training Program | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2020-01-06 |
| 1144878562 | Amanda Louie | Counselor | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2019-08-28 |
| 1215583331 | Avery D'alessandro | Counselor | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2019-08-14 |
| 1750843561 | Jade Miller | Social Worker | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2019-04-01 |
| 1295292357 | Shelia Marie Danzuka | Counselor | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2019-02-25 |
| 1679042568 | Elizabeth Lebourveau | Counselor | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2018-11-20 |
| 1275008005 | Nicholas Michael Kramer | Counselor | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2018-10-08 |
| 1114407277 | Ryan Dicker | Social Worker | 1507 Ne 122nd Ave, Portland, OR 97230-1911 | 2018-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.