Provider Type Icon

MR. KEVIN ROBERT MINOR LCSW NPI 1720305121


NPI Information

NPI: 1720305121
Provider Name: MR. KEVIN ROBERT MINOR, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
847 NE 19TH AVE
SUITE 100
PORTLAND, OR
ZIP 97232
Phone: (503) 238-0769
Get Directions

MR. Kevin Robert Minor, LCSW is a clinical social worker in Portland, OR. The provider is 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. MR. Kevin Robert Minor, LCSW NPI is 1720305121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

847 NE 19TH AVE
SUITE 100
PORTLAND, OR
ZIP 97232-684
Phone: (503) 238-0769

The NPI 1720305121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/23/2010 and was last updated on 4/15/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker27163CALIFORNIANo
2101YM0800XCounselorMental Health27163CALIFORNIANo
31041C0700XSocial WorkerClinical29596CALIFORNIANo
41041C0700XSocial WorkerClinicalL6933OREGONYes
5101YM0800XCounselorMental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.