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KERRA E BLAKELY CADC, LCSW
NPI 1366559692
Social Worker - Clinical in Portland, OR

Active since August 24, 2006
3710 SW US VETERANS HOSPITAL RD, P3-PRRC, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 27, 2017 (2 updates tracked since 2017).

About Kerra E Blakely Cadc, Lcsw NPPES

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

KERRA E BLAKELY CADC, LCSW (NPI 1366559692) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L3585) and active in the NPI registry since August 2006. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1366559692
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKERRA E BLAKELYCredential: CADC, LCSW
Location Address3710 SW US VETERANS HOSPITAL RD, P3-PRRCPortland, OR 97239-2964
Mailing AddressPo Box 1034, P3-prrcPortland, OR 97207-1034 · (503) 220-8262 · Fax (503) 273-5285
Phone(503) 220-8262
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1366559692 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 · L3585
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.
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239
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Secondary Practice Location 1

Location 114600 NW Cornell RdPortland, OR 97229-5442 · Phone (503) 645-3581 · Fax (503) 629-8517

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.

DR. JESSICA J KHALILI PHARMD
Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Multnomah County (503) 402-2946
MICHELLE LEA KELLER
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. AMY W WAGNER PH.D.
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. DAVID MORRISON DOUGLAS MD
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 721-1440
KENNETH JOHN SCALAPINO M.D.
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Multnomah County (503) 220-8262
MS. LAKSHI MARIE ALDREDGE NP
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8268
GRACE CHIEN M.D.
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. MARI UCHISHIBA PHARMD, CDE
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239
Multnomah County (503) 220-8262

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 Kerra Blakely's NPI number?

The NPI number for Kerra Blakely is 1366559692. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Kerra Blakely located?

Kerra Blakely practices at 3710 SW Us Veterans Hospital Rd P3-Prrc, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Kerra Blakely's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerra Blakely was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.