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

Individual provider Clinical Social Worker · NPI 1962963512

Ken Vickery, LCSW is a Clinical Social Worker in Vancouver, Washington. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
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

1601 E 4th Plain Blvd
Vancouver, WA 98661-3713
Phone: (503) 229-8262
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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 L6532 (OR)

Record details

NPI number1962963512
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019

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