IndividualActive
Ericka Kimball, PHD, LCSW, LISW
NPI 1013557842 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1013557842
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PHD, LCSW, LISW
- Sex
- Female
- Sole proprietor
- Yes
- License
- L7914 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 Sw 6th Ave
Portland, OR 97201-5204
Phone: (503) 725-5299
Street-level locationGet directions
Mailing address
4141 N Williams Ave Apt W214
Portland, OR 97217-2988
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2020-01-09
- Certified
- 2020-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.