OrganizationActive
Anicca LLC
NPI 1790095743 · Clinical Social Worker · Portland, OR
Anicca LLC is a Clinical Social Worker organization in Portland, OR (NPI 1790095743).
Provider details
- NPI number
- 1790095743
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Andert, Managing Member(503) 421-5904
- License
- 1423 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1020 Sw Taylor St Ste 685
Portland, OR 97205-2511
Phone: (503) 421-5904
Street-level locationGet directions
Mailing address
1020 Sw Taylor St Ste 685
Portland, OR 97205-2511
Registry dates
- Enumerated
- 2010-10-08
- Last updated
- 2010-10-08
Frequently asked questions
- What is Anicca LLC's NPI number?
- Anicca LLC's National Provider Identifier (NPI) is 1790095743, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anicca LLC?
- Anicca LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Anicca LLC located?
- Anicca LLC's practice location on file with NPPES is 1020 Sw Taylor St Ste 685, Portland, OR 97205-2511.
- What is Anicca LLC's phone number?
- The practice phone number listed in the NPPES registry for Anicca LLC is (503) 421-5904.
- Who is the authorized official for Anicca LLC?
- The authorized official listed on Anicca LLC's NPPES record is Kenneth Andert, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anicca LLC's NPI active?
- Yes — Anicca LLC's NPI (1790095743) is active in the NPPES registry as of the last update on 2010-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.