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

Miss. Kelli Grace Knudsen, MSW, QMHP

Individual provider Mental Health Counselor · NPI 1841700366

Miss. Kelli Grace Knudsen, MSW, QMHP is a Clinical Social Worker in Portland, Oregon. Qualified in 2017, 9 years ago. Licensed in Oregon and Washington.

Years since qualifying
9
Licensed in
OR, WA
In the registry since
2017
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

3550 N Interstate Ave
Portland, OR 97227-1097
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence L10639 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence LW61517630 (WA)
Social Worker Taxonomy 104100000X · Licence L10639 (OR)

Record details

NPI number1841700366
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , QMHP
Sole proprietorNo
NPI enumeratedOctober 11, 2017
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 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

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