KATHERYN CORDOVA JIMENEZ LCSW - NPI 1417400110 - Social Worker in Portland, OR

Q: What is Katheryn Cordova Jimenez's NPI number?

The NPI number for Katheryn Cordova Jimenez is 1417400110. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Q: What is Katheryn Cordova Jimenez's specialty?

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

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About Katheryn Cordova Jimenez Lcsw NPPES

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

KATHERYN CORDOVA JIMENEZ LCSW (NPI 1417400110) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L10261) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1417400110

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHERYN CORDOVA JIMENEZCredential: LCSW

Location Address5932 NE GLISAN STPortland, OR 97213-3754

Mailing Address5932 Ne Glisan StPortland, OR 97213-3754 · (503) 912-2741 · Fax (503) 912-2832

Phone(503) 912-2741

Sole ProprietorYes

Enumeration DateJuly 28, 2016

Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1417400110 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 · L10261

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 ListedSocial WorkerTaxonomy 104100000X

5932 NE GLISAN ST, Portland, OR 97213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 6

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

MELISSA MONROE LPC

Counselor (Mental Health)