KEVIN BLACK LICSW
NPI 1699263889
Social Worker - Clinical in Portland, OR

Active since April 24, 2018
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Black Licsw NPPES

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

KEVIN BLACK LICSW (NPI 1699263889) is an individual clinical provider in Portland, Oregon, licensed in Washington (LW60535756) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1699263889
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN BLACKCredential: LICSW
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing Address3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964 · (503) 220-8262
Sole ProprietorNo
Enumeration DateApril 24, 2018
NPI 1699263889 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 WA · LW60535756
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

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.

Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239

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 Kevin Black's NPI number?

The NPI number for Kevin Black is 1699263889. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Kevin Black located?

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

What is Kevin Black'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 Kevin Black was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.