KIMBERLY LYNN WALL LCSW
NPI 1558590653
Social Worker - Clinical in Portland, OR

Active since July 09, 2009
2705 E BURNSIDE ST, SUITE 206, PORTLAND, OR 97214(503) 449-2951 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Lynn Wall Lcsw NPPES

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

KIMBERLY LYNN WALL LCSW (NPI 1558590653) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L3341) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1558590653
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY LYNN WALLCredential: LCSW
Location Address2705 E BURNSIDE ST, SUITE 206Portland, OR 97214-1763
Mailing Address3638 Ne 77th AvePortland, OR 97213-6406 · (503) 449-2951
Sole ProprietorYes
Enumeration DateJuly 9, 2009
Last NPPES UpdateNovember 3, 2015
NPI 1558590653 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 · L3341
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.
2705 E BURNSIDE ST, Portland, OR 97214

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.

Psychiatry & Neurology (Psychiatry)
2705 E BURNSIDE ST
PORTLAND, OR 97214
Advanced Practice Midwife
2705 E BURNSIDE ST, SUITE 114
PORTLAND, OR 97214
Social Worker (Clinical)
2705 E BURNSIDE ST, SUITE 206
PORTLAND, OR 97214
Counselor (Professional)
2705 E BURNSIDE ST, SUITE 206
PORTLAND, OR 97214
Advanced Practice Midwife
2705 E BURNSIDE ST, SUITE 114
PORTLAND, OR 97214
Counselor (Mental Health)
2705 E BURNSIDE ST, 206
PORTLAND, OR 97214
Chiropractor
2705 E BURNSIDE ST, STE 213
PORTLAND, OR 97214
Chiropractor
2705 E BURNSIDE ST, STE 213
PORTLAND, OR 97214

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 Kimberly Wall's NPI number?

The NPI number for Kimberly Wall is 1558590653. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Where is Kimberly Wall located?

Kimberly Wall practices at 2705 E Burnside St Suite 206, Portland, OR 97214. The listed phone number is (503) 449-2951.

What is Kimberly Wall'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 Kimberly Wall was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.