Katheryn Cordova Jimenez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L10261 Issued in OR

Practice address

5932 NE Glisan St
Portland, OR 97213-3754

Phone

(503) 912-2741

NPI assigned

Jul 28, 2016

Last updated

Nov 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1417400110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133754",
            "telephone_number": "503-912-2741",
            "fax_number": "503-912-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133754",
            "telephone_number": "503-912-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA JIMENEZ",
        "first_name": "KATHERYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Nicole Cordell, RDH
• Josephine Corder
• Julia Cordes
• Kiara Cordes
• Barbara Jean Cordova Ayala
• Allan Cordova, PHD.
• Ann-Marie B Cordova, PTA
• Isabelle Cordova
• Kelli Cordova, RN
• Tomas Cordova

• 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 Nov 24, 2025; 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.