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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952760670

Michelle Nicole King, LCSW, CADCIII is a Clinical Social Worker in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2016
Specialties on file
5
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

3550 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 457-4772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 19-08-05 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 19-CRM-II-006 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence L15955 (OR)
Peer Specialist Taxonomy 175T00000X · Licence 15-CRM-105 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 20-QMHP-R-0145 (OR)

Record details

NPI number1952760670
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADCIII
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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