Ericka Kimball
Social Worker (Clinical)

Address: 1800 Sw 6th Ave, Portland, OR 97201-5204
Phone: 5037255299

Ericka Kimball (NPI# 1013557842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013557842
Entity Type Individual
Full Name Ericka Kimball
Credential PHD, LCSW, LISW
Gender Female
Practice Address 1800 Sw 6th Ave
Portland
OR 97201-5204
Practice Telephone 5037255299
Mailing Address 4141 N Williams Ave Apt W214
Portland
OR 97217-2988
Mailing Telephone 9522002519
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-01-09
Last Update Date 2020-01-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers L7914 OR

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083235881 Krista Renee Nelson Social Worker 6207 Ne Broadway, Portland, OR 97213-4713 2020-05-03
1336769694 Meggan Colleen Mcevoy Social Worker 209 Sw 4th Ave Ste 250, Portland, OR 97204-1813 2020-04-16
1013546217 Jeff Lynn Liddell Social Worker 1803 N Simpson St, Portland, OR 97217-4658 2020-04-08
1467080473 Mary Elizabeth Hanel Social Worker 8204 Se 9th Ave, Portland, OR 97202-6534 2020-03-27
1609402924 Gia Michele Buckberg Social Worker 1722 Nw Raleigh St Spc 418, Portland, OR 97209-1754 2020-03-18
1487289922 Mary Katherine Cook Social Worker 190 Lancaster St Ste 310, Portland, ME 04101-2058 2020-03-05
1245864552 Mark Wallace Honeywell Summit Social Worker 637 N Farragut St, Portland, OR 97217-1473 2020-02-25
1922638790 Raphel Danielle Cousins Social Worker 8536 Se Stark St, Portland, OR 97216-1140 2020-01-21
1285270272 Katherine Finch Social Worker 190 Lancaster St Ste 301, Portland, ME 04101-2056 2019-11-25
1205470978 Chandra Emery Social Worker 921 Sw Washington St Ste 420, Portland, OR 97205-2836 2019-11-05
Find all providers in PORTLAND

Office Location

Street Address 1800 SW 6TH AVE
City PORTLAND
State OR
Zip Code 97201-5204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780206060 Laura Elizabeth Jackson Student in an Organized Health Care Education/Training Program 2730 S Moody Ave, Portland, OR 97201 2020-05-10
1225659063 Amanpreet Kaur Student in an Organized Health Care Education/Training Program Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 2020-05-04
1063033801 Aaron Kinn Student in an Organized Health Care Education/Training Program Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 2020-05-04
1487275442 Erin Aleen Ostlie-madden Student in an Organized Health Care Education/Training Program 2730 South Moody Ave, Portland, OR 97201 2020-04-30
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1740825587 Dalia Bayaa Pharmacist 325 Sw Harrison Street, Portland, OR 97201 2019-11-15
1780172619 Susan Elizabeth Christian Barrios Social Worker 1505 Sw College St, Portland, OR 97201 2018-04-26
1730696576 Fiona Everett Counselor 1703 Sw Clay St, Portland, OR 97201 2018-01-02
1437678844 Akira Thomas Neilsen Student in an Organized Health Care Education/Training Program 1930 Sw River Drive, Unit 102, Portland, OR 97201 2017-09-18
1285171736 Howard Mitchell Technician, Other 1110 Sw Clay Street Apt. 34, Portland, OR 97201 2017-01-23
Find all providers in zip 97201

Competitor

Search similar providers

City PORTLAND
Zip Code 97201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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