Organization Active NPI

Shared Alchemy LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1003737651
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHARED ALCHEMY LLC
Practice address
12920 SE Briggs St
Portland, OR 97222-6106
Phone
(971) 236-3316
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Janke, LCSW
Title
Licensed Clinician
Phone
(971) 236-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12920 SE Briggs St
Portland, OR 97222-6106

Mailing address

12920 SE Briggs St
Portland, OR 97222-6106
Phone (815) 440-6890

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1003737651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 SE BRIGGS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972226106",
            "telephone_number": "815-440-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 SE BRIGGS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972226106",
            "telephone_number": "971-236-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED ALCHEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JANKE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED CLINICIAN",
        "authorized_official_telephone_number": "971-236-3316",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.