MISS KELLY LYNN GILMORE (NPI# 1790922235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790922235 |
| Entity Type | Individual |
| Full Name | MISS KELLY LYNN GILMORE |
| Credential | LCSW |
| Practice Address |
8285 Sw Nimbus Ave Ste 148 Beaverton OR 97008-6465 |
| Practice Telephone | 5039418877 |
| Mailing Telephone | 5039418877 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7572 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740331214 | Kelly A Gilmore | Licensed Practical Nurse | 506 New Boston St, Canastota, NY 13032-4386 | 2007-01-13 |
| 1326473901 | Kelly Eugene Gilmore | Dentist | 762 High St Ne, Salem, OR 97301-2440 | 2013-09-13 |
| 1417287103 | Kelly L Gilmore | Genetic Counselor, MS | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2010-01-04 |
| 1962697417 | Kelly Gilmore | Colon & Rectal Surgery | 6550 Fannin St, Ste 2307, Houston, TX 77030-2717 | 2007-09-07 |
| Street Address |
8285 SW NIMBUS AVE STE 148 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120566 | Scott Delaus Kobold | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-06-29 |
| 1679198154 | Kristen Buffaloe | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-06-10 |
| 1194349092 | Lillian Katrina Guarrera | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-06-05 |
| 1821611328 | Emma Michelle Jorgensen | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2020-05-19 |
| 1457903197 | Moriah Mendez | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-07-12 |
| 1083271688 | Helen Bradley Zapletal | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-05-20 |
| 1063075638 | Andrea Lynn Larsen | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-04-18 |
| 1457816910 | Alexander Navid Rassekh | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2019-02-08 |
| 1033686373 | Cassidy Allison Smith | Counselor | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008 | 2018-10-24 |
| 1700367927 | Matthew Z. Elliott | Marriage & Family Therapist | 8285 Sw Nimbus Ave Ste 148, Beaverton, OR 97008-6465 | 2018-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
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| 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 |
|---|---|---|---|---|
| 1457811887 | Gareth Robert Smith | Social Worker | 14825 Sw Farmington Rd, Beaverton, OR 97007-2724 | 2019-03-21 |
| 1003373101 | Carla E Fadriquela | Social Worker | 2980 Sw 123rd Ave, Beaverton, OR 97005-1325 | 2019-02-25 |
| 1144795477 | Madilyn Long | Social Worker | 4900 Sw Griffith Dr Ste 249, Beaverton, OR 97005-4648 | 2018-10-13 |
| 1689058794 | Susan Driver | Social Worker | 14631 Sw Millikan Way # 8, Beaverton, OR 97003-2999 | 2015-07-17 |
| 1740615848 | Krystal Karin Ashling | Social Worker | 4895 Sw Normandy Pl, 4895 Sw Normandy Place, Beaverton, OR 97005 | 2013-09-08 |
| 1174825350 | Debbie Yoro | Social Worker | 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005-4791 | 2010-11-22 |
| 1679883383 | Pamela Lynn Mottola | Social Worker | 14255 Sw Brigadoon Court, Beaverton, OR 97005 | 2010-10-15 |
| 1134434061 | Emily Kirsten Haug | Social Worker | 15455 Nw Greenbrier Pkwy Ste 112, Beaverton, OR 97006-8115 | 2010-08-16 |
| 1497994115 | Janice Eaton-bennette | Social Worker | 3900 Sw Murray Blvd Ste 100, Beaverton, OR 97005-2454 | 2009-02-19 |
| 1699923672 | Lois Jean L Kadera | Social Worker | 8790 Sw Sorrento Rd, Beaverton, OR 97008-6883 | 2008-09-03 |
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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.