Adolfo Jimenez, LCSW/CADC-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L17653 Issued in OR

Practice address

209 SW 4TH Ave Ste 520
Portland, OR 97204-1825

Phone

(503) 988-8291

NPI assigned

Aug 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Adolfo Alberto Jimenez Sanchez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1275260838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 NE 112TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202445",
            "telephone_number": "503-988-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SW 4TH AVE STE 520",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041825",
            "telephone_number": "503-988-8291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 SW Oak St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972041810",
            "country_code": "US",
            "telephone_number": "503-988-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 NE Hancock St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972123955",
            "country_code": "US",
            "telephone_number": "503-230-9875",
            "fax_number": "503-331-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ADOLFO",
        "credential": "LCSW/CADC-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "22-QMHP-R-1481",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17653",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "T-22-1890",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A13640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500809625",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADOLFO ALBERTO",
            "last_name": "JIMENEZ SANCHEZ",
            "credential": "LCSW/CADC-R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill M Shaw, D.O., P.C.
• Jill Shealy Counseling LLC
• Jennifer Ann Jim
• Jessenia Jimenez Pena, DOULA
• Cielo Jimenez-Garcia
• Alexiss Jimenez
• Anjulia Jimenez, PA-S
• Anna Jimenez, MD
• Clarisa Jimenez, RN
• David Ali Jimenez

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.