KELLY SELIS LCSW
NPI 1063605731
Social Worker - Clinical in Portland, OR

Active since August 24, 2007
5404 N MONTANA AVE, PORTLAND, OR 97217(503) 502-0208(503) 961-8036 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Selis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SELIS LCSW (NPI 1063605731) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L3485) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1063605731
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY SELISCredential: LCSW
Location Address5404 N MONTANA AVEPortland, OR 97217-4557
Mailing Address5404 N Montana AvePortland, OR 97217-4557 · (503) 502-0208 · Fax (503) 961-8036
Fax(503) 961-8036
Sole ProprietorNo
Enumeration DateAugust 24, 2007
Last NPPES UpdateFebruary 3, 2023
NPPES CertifiedFebruary 3, 2023
NPI 1063605731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L3485
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5404 N MONTANA AVE, Portland, OR 97217

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5404 N MONTANA AVE
PORTLAND, OR 97217
Counselor (Mental Health)
5404 N MONTANA AVE
PORTLAND, OR 97217
Social Worker (Clinical)
5404 N MONTANA AVE
PORTLAND, OR 97217
Counselor (Mental Health)
5404 N MONTANA AVE
PORTLAND, OR 97217
Counselor (Mental Health)
5404 N MONTANA AVE
PORTLAND, OR 97217
Counselor
5404 N MONTANA AVE
PORTLAND, OR 97217
Social Worker (Clinical)
5404 N MONTANA AVE
PORTLAND, OR 97217
Social Worker (Clinical)
5404 N MONTANA AVE
PORTLAND, OR 97217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Selis's NPI number?

The NPI number for Kelly Selis is 1063605731. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Kelly Selis located?

Kelly Selis practices at 5404 N Montana Ave, Portland, OR 97217. The listed phone number is (503) 502-0208.

What is Kelly Selis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kelly Selis accept?

Health plans from Regence BlueCross BlueShield of Oregon list Kelly Selis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Selis was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.