Individual
EMILIA KONGAIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2525 NW LOVEJOY ST, PORTLAND, OR 97210-2859
(503) 563-3420
Mailing address
2525 NW LOVEJOY ST, PORTLAND, OR 97210-2859
(503) 563-3420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12256132-3506
UT
104100000X
Social Worker
Primary
A14668
OR
1041C0700X
Clinical Social Worker
Primary
A14668
OR
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13284772-3506
CSW
UT
01
—
A14668
CSWA
OR
Enumeration date
04/07/2021
Last updated
03/24/2026
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