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

Kannon Elizabeth, LCSW, LICSW

Individual provider Mental Health Counselor · NPI 1326463712

Kannon Elizabeth, LCSW, LICSW is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6500 S Macadam Ave Ste 375
Portland, OR 97239-3566
Phone: (541) 357-9433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 436 Se 12th Ave, Portland, OR 97214-1323 — (503) 305-3088

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CG60441194 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LW60713264 (WA)
Professional Counselor Taxonomy 101YP2500X · Licence L7100 (OR)

Record details

NPI number1326463712
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedFebruary 21, 2014
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

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