Individual provider Active NPI

Matthew Alexander Kuzmich, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1083127583
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L15075 Issued in OR
Practice address
5010 SE Foster Rd Unit 86181
Portland, OR 97286-6603
Phone
(408) 398-9622
NPI assigned
Nov 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCW95731 CA
Clinical Social Worker 1041C0700X L15075 OR Primary

Addresses

Primary practice location

5010 SE Foster Rd Unit 86181
Portland, OR 97286-6603

Mailing address

5010 SE Foster Rd Unit 86181
Portland, OR 97286-6603
Phone (408) 398-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSCW95731CAMDClinical Social Worker
L15075ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1083127583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SE FOSTER RD UNIT 86181",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972866603",
            "telephone_number": "408-398-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 SE FOSTER RD UNIT 86181",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972866603",
            "telephone_number": "408-398-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMICH",
        "first_name": "MATTHEW",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LSCW95731",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15075",
            "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 Aug 15, 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.