Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin David Michael Menasco, LCSW

Individual provider Counselor · NPI 1225475387

Kevin David Michael Menasco, LCSW is a Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
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

32 NE 11th Ave
Portland, OR 97232
Phone: (978) 979-6094
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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 L9518 (OR)
Counselor Taxonomy 101Y00000X

Record details

NPI number1225475387
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 30, 2013
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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