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KRISTINA IVY LCSW
NPI 1902280365
Social Worker in Portland, OR

Active since July 16, 2015
17727 E BURNSIDE ST, PORTLAND, OR 97233(503) 215-9800 Get Directions Write a Review

NPPES record last updated: February 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristina Ivy Lcsw NPPES

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

KRISTINA IVY LCSW (NPI 1902280365) is an individual social worker in Portland, Oregon and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1902280365
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKRISTINA IVYCredential: LCSW
Location Address17727 E BURNSIDE STPortland, OR 97233-4803
Mailing Address2637 N Halleck StPortland, OR 97217-6361 · (208) 284-3508
Phone(503) 215-9800
Sole ProprietorYes
Enumeration DateJuly 16, 2015
Last NPPES UpdateFebruary 3, 2024
NPPES CertifiedFebruary 3, 2024
✔ NPI 1902280365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 084358 (NY)
17727 E BURNSIDE ST, Portland, OR 97233
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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.

THERESA RENEE SEIFER RN
Registered Nurse (Gerontology)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9800
BECKET N. LAUTEN MSW, LCSW
Social Worker (Clinical)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9803
MISS CLAUDIA NONE FONG
Licensed Practical Nurse
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9800
LYDIA LOUISE RIVERA MSW, CSWA
Social Worker
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9800
DR. KELLIE ROONEY FOSTER M.D.
Internal Medicine (Geriatric Medicine)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9800
MRS. SAMANTHA LOUISE MACDONALD RN
Registered Nurse
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9807
DONNA L JOHANNES ANP, GNP
Nurse Practitioner (Gerontology)
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9800
MS. CRYSTAL DAWN STONE RD
Dietitian, Registered
17727 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (503) 215-9800

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 Kristina Ivy's NPI number?

The NPI number for Kristina Ivy is 1902280365. It was assigned to this individual provider in the NPPES registry on July 16, 2015.

Where is Kristina Ivy located?

Kristina Ivy practices at 17727 E Burnside St, Portland, OR 97233. The listed phone number is (503) 215-9800.

What is Kristina Ivy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kristina Ivy was last updated on February 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.