Shane Kennington, LCSW
NPI 1174754493 · Clinical Social Worker · Portland, OR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Kennington, LCSW is a Clinical Social Worker provider in Portland, OR (NPI 1174754493).
Provider details
- NPI number
- 1174754493
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- L7078 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-08-04
- Last updated
- 2023-10-13
- Certified
- 2023-10-13
Frequently asked questions
- What is Shane Kennington's NPI number?
- Shane Kennington's National Provider Identifier (NPI) is 1174754493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Kennington's specialty?
- Shane Kennington is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shane Kennington located?
- Shane Kennington's practice location on file with NPPES is 1750 Sw Skyline Blvd Ste 206, Portland, OR 97221-2545.
- What is Shane Kennington's phone number?
- The practice phone number listed in the NPPES registry for Shane Kennington is (503) 327-5584.
- Does Shane Kennington accept Medicare?
- Shane Kennington is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Kennington's NPI active?
- Yes — Shane Kennington's NPI (1174754493) is active in the NPPES registry as of the last update on 2023-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.