Common Kin Collaborative, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMON KIN COLLABORATIVE, LLC

Practice address

3050 SE Division St Ste 220
Portland, OR 97202-1997

Phone

(503) 300-5332

Fax

(503) 328-7780

NPI assigned

Jul 27, 2026

Organization subpart

No

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

Authorized official

Name

Roxanne Sheena Capparelli, LCSW

Title

Member

Phone

(503) 208-8258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1407778103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 SE DIVISION ST STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021997",
            "telephone_number": "503-300-5332",
            "fax_number": "503-328-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 SE DIVISION ST STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021997",
            "telephone_number": "503-300-5332",
            "fax_number": "503-328-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON KIN COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "CAPPARELLI",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "SHEENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-208-8258",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 27, 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.