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

Kimberlin Santos, LCSW

Individual provider Clinical Social Worker · NPI 1356803894

Kimberlin Santos, LCSW is a Clinical Social Worker in Vancouver, Washington. Qualified in 2017, 9 years ago. Licensed in Oregon and Washington.

Years since qualifying
9
Licensed in
OR, WA
In the registry since
2019
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

2103 NE 129th St Ste 101
Vancouver, WA 98686-3270
Phone: (360) 574-9303
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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 SWI.LW.70024703 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence L11626 (OR)

Record details

NPI number1356803894
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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