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

Kim T Pengelly, LCSW

Individual provider Clinical Social Worker · NPI 1538136668

Kim T Pengelly, LCSW is a Clinical Social Worker in Oregon City, Oregon. Qualified in 1992, 34 years ago. Practices with County of Clackamas Office of County Auditor, a 75-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
34
Licensed in
OR
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

998 Library Ct
Oregon City, OR 97045-4041
Phone: (503) 655-8401
Fax: (503) 655-8429
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L2604 (OR)

Record details

NPI number1538136668
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESNovember 1, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice County Of Clackamas Office Of County Auditor — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Oregon City