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

Magdalene Kidd Vasconez

Individual provider Clinical Social Worker · NPI 1265035158

Magdalene Kidd Vasconez is a Clinical Social Worker in Saint Helens, Oregon. Qualified in 2006, 20 years ago. Practices with Columbia Community Mental Health, a 9-clinician group and accepts Medicare assignment. Licensed in Georgia and Oregon.

Years since qualifying
20
Licensed in
GA, OR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

58646 McNulty Way
Saint Helens, OR 97051-6210
Phone: (912) 755-0906
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW007219 (GA)
Clinical Social Worker Taxonomy 1041C0700X · Licence L15511 (OR)

Record details

NPI number1265035158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2020
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Columbia Community Mental Health — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Helens