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

Individual provider Social Worker · NPI 1417400110

Katheryn Cordova Jimenez, LCSW is a Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5932 NE Glisan St
Portland, OR 97213-3754
Phone: (503) 912-2741
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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 L10261 (OR)
Social Worker Taxonomy 104100000X

Record details

NPI number1417400110
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 28, 2016
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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