Tara Ann Kerwin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L11313 Issued in OR

Practice address

25050 SE Stark St Ste 300
Gresham, OR 97030-3388

Phone

(503) 667-8878

Fax

(503) 667-0310

NPI assigned

Jun 8, 2021

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metropolitan Pediatrics, LLC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1235131632

  Clinical

  NPD

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1780251777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303388",
            "telephone_number": "503-667-8878",
            "fax_number": "503-667-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303388",
            "telephone_number": "503-667-8878",
            "fax_number": "503-667-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERWIN",
        "first_name": "TARA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Pellicano Kennedy, D.M.D.
• Marshal Terrance Kennedy, DPM
• Nathan Kennelly, CRM, CADC R
• Ronald L Kerns, O.D.
• Toni Kershaw
• Katie L Ketterling-Thornburg, APRN, FNP-C
• Keystone RTH LLC
• Daryl Khaw, DMD
• Lidiya Khoroshenkikh
• Zeldah Muthoni Kigotho

• Clinical Social Worker in Gresham, OR
• Providers in Gresham, 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 Mar 10, 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.