Rebecca Amethyst Kinman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portland, Oregon. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
2404 Se 113th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(971) 258-0220.
Rebecca Amethyst Kinman is licensed to practice in Oregon (license number L16209) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497489280.
Healthcare Provider's Profile
| Full Name | Rebecca Amethyst Kinman |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 2404 Se 113th Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rebecca Amethyst Kinman graduated from medical school in 2022
NPI Data:
- NPI Number: 1497489280
- Provider Enumeration Date: 07/15/2022
- Last Update Date: 03/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 2466937057
- Enrollment ID: I20260401000809
Medical Identifiers
Medical identifiers for Rebecca Amethyst Kinman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497489280 | NPI | - | NPPES |
| 500809034 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L16209 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca Amethyst Kinman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rebecca Amethyst Kinman, LCSW
2404 Se 113th Ave Apt A,
Portland, OR 97216-4042
Ph: (971) 258-0220 | Rebecca Amethyst Kinman, LCSW
2404 Se 113th Ave,
Portland, OR 97216-4042
Ph: (971) 258-0220 |
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