NPIMap

A Little Light Collective, LLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR

NPI 1124851167 · NPPES record last updated Jun 3, 2025

Key facts

NPI
1124851167
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
A LITTLE LIGHT COLLECTIVE, LLC
Practice address
4605 NE Fremont St Ste 210F
Portland, OR 97213-1707
Phone
(503) 994-6702
NPI assigned
Aug 23, 2024
Organization subpart
No

Authorized official

Name
Jordan Mae Dobrovolny, LCSW
Title
Member
Phone
(503) 994-6702

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4605 NE Fremont St
Ste 210F
Portland, OR 97213
Phone (503) 994-6702

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

4605 NE Fremont St Ste 210F
Portland, OR 97213-1707

Mailing address

1717 NE 42ND Ave Ste 3200
Portland, OR 97213-1572
Phone (503) 994-6702

Other names

  • Jordan Dobrovolny LCSW Other name

Other providers in Portland, OR

All providers in Portland, OR · Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

Sources for this page

Verify at the official NPI Registry.