Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Anicca LLC

Organization Clinical Social Worker · NPI 1790095743

Anicca LLC provides Clinical Social Worker services 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 Not confirmed with CMS for 16 years — call before visiting
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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