Individual provider Active NPI

Amy Knutson-Cain, LCSW, CADC I

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1427344530
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L10564 Issued in OR
Practice address
9155 SW Barnes Rd Ste 630
Portland, OR 97225-6633
Phone
(503) 216-1509
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X L10564 OR Primary

Addresses

Primary practice location

9155 SW Barnes Rd Ste 630
Portland, OR 97225-6633

Mailing address

9155 SW Barnes Rd Ste 630
Portland, OR 97225-6633
Phone (503) 216-1509

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.knutson-cain@providence.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L10564ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1427344530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256633",
            "telephone_number": "503-216-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 630",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256633",
            "telephone_number": "503-216-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON-CAIN",
        "first_name": "AMY",
        "credential": "LCSW, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L10564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.knutson-cain@providence.org",
            "affiliation": "N",
            "address_1": "9155 SW Barnes Rd Ste 630",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.