KELLY SELIS, LCSW
NPI 1841575974
Social Worker - Clinical in Portland, OR

Active since October 20, 2011
1715 E. BURNSIDE ST., PORTLAND, OR 97214(503) 502-0208 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Selis, Lcsw NPPES

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

KELLY SELIS, LCSW (NPI 1841575974) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since October 2011. The organization lists Kelly Selis, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1841575974
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLY SELIS, LCSW
Location Address1715 E. BURNSIDE ST.Portland, OR 97214
Mailing Address1715 E. Burnside St.Portland, OR 97214
Organization SubpartNo
Authorized OfficialKelly SelisPsychotherapist · (503) 502-0208
Enumeration DateOctober 20, 2011
NPI 1841575974 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 · L3485
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.
1715 E. BURNSIDE ST., Portland, OR 97214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kelly Selis, Lcsw's NPI number?

The NPI number for Kelly Selis, Lcsw is 1841575974. It was assigned to this organization in the NPPES registry on October 20, 2011.

Where is Kelly Selis, Lcsw located?

Kelly Selis, Lcsw is located at 1715 E. Burnside St., Portland, OR 97214. The listed phone number is (503) 502-0208.

What is Kelly Selis, Lcsw'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 Kelly Selis, Lcsw was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.