Carol a. McKinnon, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

OREGON 0326 Issued in OR

Legal business name

CAROL A. MCKINNON, LCSW

Practice address

8835 SW Canyon LN
Suite 240
Portland, OR 97225-3443

Phone

(503) 292-5439

Fax

(181) 379-2339

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Carol Ann McKinnon, LCSWNPI 1093939662

Title

Social Worker

Phone

(503) 292-5439

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Ann McKinnon, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1093939662
  NPD (past) Authorized official
• Lawrence Franklin Mackles, M.D.

  • Psychosomatic Medicine Physician
  • Portland, OR
  • NPI 1912129297
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1477838852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 SW CANYON LN",
            "address_2": "SUITE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253443",
            "telephone_number": "503-292-5439",
            "fax_number": "181-379-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 SW CANYON LN",
            "address_2": "SUITE 240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253443",
            "telephone_number": "503-292-5439",
            "fax_number": "181-379-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A. MCKINNON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "503-292-5439",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "OREGON 0326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Carnesi, LMT
• Rafael Carnet, RN
• Coleen M Carney, RN
• Kathleen Carney
• Juliana Caroddo, BCBA
• Carol R Conrades
• Joel Paris Carol-Libman
• Amy D Carolan, MD
• Caroleigh Elliott, DC
• Christine Claire Carolino, PHARMD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.