KRISTEN KELLEY CSWA
NPI 1376923060
Social Worker - Clinical in Clackamas, OR

Q: What is Kristen Kelley's NPI number?

The NPI number for Kristen Kelley is 1376923060. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Q: What is Kristen Kelley'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 Kristen Kelley was last updated on December 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 08, 2015

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(805) 901-0962 Get Directions Write a Review

NPPES record last updated: December 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2021, Sep 7, 2020, Jul 11, 2017 (3 updates tracked since 2017).

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About Kristen Kelley Cswa NPPES

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

KRISTEN KELLEY CSWA (NPI 1376923060) is an individual clinical provider in Clackamas, Oregon, licensed in Oregon (A5600) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1376923060

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTEN KELLEYCredential: CSWA

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769

Phone(805) 901-0962

Sole ProprietorNo

Enumeration DateJune 8, 2015

Last NPPES UpdateDecember 24, 20213 updates tracked since enumeration

NPPES CertifiedDecember 24, 2021

✔ NPI 1376923060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · A5600

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.

Also ListedCounselorTaxonomy 101Y00000X

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology