Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anicca LLC

Organization Clinical Social Worker · NPI 1790095743

Anicca LLC is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1020 SW Taylor St Ste 685
Portland, OR 97205-2511
Phone: (503) 421-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1423 (OR)

Record details

NPI number1790095743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Andert — Managing Member · (503) 421-5904
NPI enumeratedOctober 8, 2010
Last updated in NPPESOctober 8, 2010
Mailing address1020 Sw Taylor St Ste 685, Portland, OR 97205-2511

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