Individual provider Active NPI

Kimberly Anne Louvin, LCSW

  • Clinical Social Worker
  • Gresham, OR
National Provider Identifier
1275265266
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4316 SE 182ND Ave
Gresham, OR 97030-5058
Phone
(503) 420-7852
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4316 SE 182ND Ave
Gresham, OR 97030-5058

Mailing address

6939 NE Grand Ave Apt 25
Portland, OR 97211-2961
Phone (503) 757-3032

Other practice location 1

6939 NE Grand Ave Apt 25
Portland, OR 97211-2961
Phone (503) 757-3032

Other practice location 2

5105 SE 302nd Ave
Gresham, OR 97080-8927
Phone (503) 258-4869

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

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1275265266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 NE GRAND AVE APT 25",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112961",
            "telephone_number": "503-757-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 SE 182ND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305058",
            "telephone_number": "503-420-7852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6939 NE Grand Ave Apt 25",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972112961",
            "country_code": "US",
            "telephone_number": "503-757-3032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5105 SE 302nd Ave",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970808927",
            "country_code": "US",
            "telephone_number": "503-258-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUVIN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.