MS. KIMBERLY D. OVERMAN (NPI# 1902103930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902103930 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY D. OVERMAN |
| Credential | MSW |
| Practice Address |
722 Ne 162nd Ave Portland OR 97230-5760 |
| Practice Telephone | 5035758061 |
| Mailing Telephone | 5035758061 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
722 NE 162ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235237983 | Catherine N. Knox | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2006-09-20 |
| 1548860463 | Michele Renee Coon | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-10-29 |
| 1710594551 | Anna Christine Peaslee | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-09-25 |
| 1164040739 | Samantha Bedker | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-07-10 |
| 1417572033 | Veronica Shiu Knight | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-06-09 |
| 1215550850 | Nathalie Wuebkes | Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-05-18 |
| 1104446509 | Erin Marie Mcdermott | Behavior Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-04-26 |
| 1174150536 | Jessica Schnur | Marriage & Family Therapist | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-03-25 |
| 1710529714 | Dickovita Kankanamge Nirmani Tilakasena | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2019-10-10 |
| 1568003978 | Sarah Lehman | Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2019-10-07 |
| 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.