MS. KRISTIN WARDEN DOHERTY (NPI# 1346527694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346527694 |
| Entity Type | Individual |
| Full Name | MS. KRISTIN WARDEN DOHERTY |
| Other Name | MS. KRISTIN ANN WARDEN |
| Credential | LCSW |
| Practice Address |
1500 Ne Irving St Suite 250 Portland OR 97232-2243 |
| Mailing Address |
9911 Se Mount Scott Blvd Portland OR 97266-6302 |
| Practice Telephone | 5032584555 |
| Mailing Telephone | 5032584200 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L3282 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849209 | Kristin M Doherty | Social Worker | 1106 Golf Club Rd, Las Cruces, NM 88011-4000 | 2020-04-09 |
| 1295125607 | Kristin Doherty | Counselor | 61 N Maple Ave Ste 204a, Ridgewood, NJ 07450-3232 | 2015-01-24 |
| 1043605389 | Kristin Leigh Doherty | Nurse Practitioner | 1 East 31st Street, Suite N200, Baltimore, MD 21218 | 2015-04-03 |
| Street Address |
1500 NE IRVING ST SUITE 250 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952451841 | Andrew Todd Mcwilliams | Counselor | 1500 Ne Irving St, 250, Portland, OR 97232-2243 | 2007-01-11 |
| 1609230168 | Anita Loving | Peer Specialist | 1500 Ne Irving St, 250, Portland, OR 97232-2243 | 2016-04-11 |
| 1518207661 | Robert Christopher Goble | Social Worker | 1500 Ne Irving St, Suite 200, Portland, OR 97232-2243 | 2013-02-27 |
| 1083954218 | Martha M Robers | Social Worker | 1500 Ne Irving St, Suite 200, Portland, OR 97232-2243 | 2013-02-25 |
| 1902155583 | Keysha Rae Kendall | Student in an Organized Health Care Education/Training Program | 1500 Ne Irving St, Suite 250, Portland, OR 97232 | 2012-08-29 |
| 1922385095 | Laura C Berger | Social Worker | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-11-03 |
| 1164705257 | Kelsey Stone | Case Manager/Care Coordinator | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-24 |
| 1316220916 | Grace Huang | Counselor | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-21 |
| 1285916270 | Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-15 |
| 1134400195 | Gretchen Johanna Hampshire | Registered Nurse | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| 1821605759 | Melanie Smith | Social Worker | 4210 N Juneau St, Portland, OR 97203-2063 | 2020-09-24 |
| 1871100867 | Purely Spirit Holistic Health, LLC | Social Worker | 226 Stevens Ave Apt 9, Portland, ME 04102-2263 | 2020-09-24 |
| 1023624780 | Flourish Counseling and Consulting LLC | Social Worker | 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 | 2020-09-18 |
| 1245845130 | Crescent Psychotherapy | Social Worker | 168 Neal St, Portland, ME 04102-3343 | 2020-09-09 |
| 1861007676 | Yvonne Recchia | Social Worker | 5257 Ne Mlk, Portland, OR 97211-3282 | 2020-09-09 |
| 1447864327 | Gordon Keepers | Social Worker | 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 | 2020-09-08 |
| 1609484187 | Julie Pratt | Social Worker | 14 Culver Ln, Portland, CT 06480-1323 | 2020-07-21 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.