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

Individual provider Clinical Social Worker · NPI 1336807353

Mrs. Michelle Kabryn Pavlovich, LCSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2018, 8 years ago. Practices with Senior Living Memory Health Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2021
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

800 SW 13th Ave
Portland, OR 97205-1999
Phone: (503) 221-0161
Fax: (971) 713-7255
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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 L10610 (OR)

Record details

NPI number1336807353
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 6, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Senior Living Memory Health Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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