Kevin Joshua Gobuty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L18584 Issued in OR

Practice address

12570 SW 69TH Ave Ste 200
Portland, OR 97223-2551

Phone

(503) 427-2394

NPI assigned

Sep 1, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1336057017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12570 SW 69TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 SW 69TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232551",
            "telephone_number": "503-427-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBUTY",
        "first_name": "KEVIN",
        "middle_name": "JOSHUA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire-Alyce Rochelle Gobble, MD
• Timothy R Gobble, MD
• Robert W Gobbo, MD
• Kyle Gobeil
• Robert Christopher Goble, LCSW
• Mindy Lynn Gochis, BA, LAC
• Olga Goda, MS, PA-C
• Jamie Godard
• Collin Godbey, LPN
• Grant Tyrone Godbey, MD

• 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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.