Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

I AM SHOOK LLC
NPI 1194630186
Social Worker - Clinical in Portland, OR

Q: What is I Am Shook LLC's NPI number?

The NPI number for I Am Shook LLC is 1194630186. It was assigned to this organization in the NPPES registry on August 15, 2026.

Q: What is I Am Shook LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for I Am Shook LLC was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.

Active since August 15, 2026

5441 S MACADAM AVE STE R, PORTLAND, OR 97239(503) 272-1113 Get Directions Write a Review

NPPES record added: August 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About I Am Shook Llc NPPES

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

I AM SHOOK LLC (NPI 1194630186) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since August 2026. The organization lists Ethan Shook, Manager, as its authorized official.

NPPES Registry Identity

NPI1194630186

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameI AM SHOOK LLC

Location Address5441 S MACADAM AVE STE RPortland, OR 97239-3822

Mailing AddressPo Box 17091Portland, OR 97217-0091 · (503) 272-1113

Phone(503) 272-1113

Organization SubpartNo

Authorized OfficialEthan ShookManager · (626) 315-5799

Enumeration DateAugust 15, 2026

NPPES CertifiedAugust 15, 2026

✔ NPI 1194630186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

5441 S MACADAM AVE STE R, Portland, OR 97239

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

SCOUT BROWN

Counselor (Mental Health)