Individual provider Active NPI

Jakob Wilson Kleint, MSW, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1780955823
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8457 Issued in OR
Practice address
1215 SW 18TH Ave
Portland, OR 97205-1711
Phone
(971) 272-7211
Fax
(503) 719-6930
NPI assigned
Jan 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L8457 OR Primary

Addresses

Primary practice location

1215 SW 18TH Ave
Portland, OR 97205-1711

Mailing address

1215 SW 18TH Ave
Portland, OR 97205-1711
Phone (971) 272-7211

Other names 1

  • Jake Kleint Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L8457ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaizen Consulting, LLC Clinical PastSince Oct 15, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1780955823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051711",
            "telephone_number": "971-272-7211",
            "fax_number": "503-719-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051711",
            "telephone_number": "971-272-7211",
            "fax_number": "503-719-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINT",
        "first_name": "JAKOB",
        "middle_name": "WILSON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "KLEINT",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 30, 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.