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

Kellie Anne Nunn, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1780265454

Kellie Anne Nunn, MSW, LCSW is a Clinical Social Worker in Lake Oswego, Oregon. Qualified in 2018, 8 years ago. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

5 Centerpointe Dr Ste 320
Lake Oswego, OR 97035-8696
Phone: (971) 380-3853
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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 L12565 (OR)

Record details

NPI number1780265454
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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