# ADOLFO JIMENEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275260838
- **Gender:** Man
- **Credential:** LCSW/CADC-R

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | T-22-1890 | OR | — |
| 101YM0800X | Mental Health Counselor | 22-QMHP-R-1481 | OR | — |
| 104100000X | Social Worker | A13640 | OR | — |
| 1041C0700X | Clinical Social Worker | L17653 | OR | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 07/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500809625 | — | OR |