Active NPI
Amy Knutson-Cain, LCSW, CADC I
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1427344530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L10564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L10564 | OR | MD | Clinical 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.