Individual provider Active NPI

Kylee Binkerd, MA

  • Clinical Social Worker
  • Hillsboro, OR
National Provider Identifier
1114734282
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A15843 Issued in OR
Practice address
3000 NE Stucki Ave Ste 230
Hillsboro, OR 97124-7328
Phone
(541) 283-0716
Fax
(503) 690-0678
NPI assigned
Dec 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X A15843 OR Primary

Addresses

Primary practice location

3000 NE Stucki Ave Ste 230
Hillsboro, OR 97124-7328

Mailing address

3000 NE Stucki Ave Ste 230
Hillsboro, OR 97124-7328
Phone (541) 283-0716

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A15843ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1114734282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NE STUCKI AVE STE 230",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247328",
            "telephone_number": "541-283-0716",
            "fax_number": "503-690-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NE STUCKI AVE STE 230",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247328",
            "telephone_number": "541-283-0716",
            "fax_number": "503-690-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINKERD",
        "first_name": "KYLEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A15843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.