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

Individual provider Clinical Social Worker · NPI 1558590653

Kimberly Lynn Wall, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
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

2705 E Burnside St Ste 206
Portland, OR 97214-1763
Phone: (503) 449-2951
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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 L3341 (OR)

Record details

NPI number1558590653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 9, 2009
Last updated in NPPESNovember 3, 2015

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