NPI 1972279370 · live from the CMS NPI Registry
Alisha Kelley LCSW,LLC
Social Worker, Clinical in Portland, OR. National Provider Identifier 1972279370, active.
NPI record
| NPI | 1972279370 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 401 Ne 19th Ave Ste 200, Portland, OR 97232 |
| Practice phone | 971-377-9506 |
| Enumerated | August 17, 2021 |
| Last updated | October 20, 2023 |
| Authorized official | Alisha Kelley, Social Worker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.