Individual provider · Type 1 NPI
Mary Lisa Gates, LCSW
Clinical Social Worker · Portland, OR
Practice location
2800 N Vancouver Ave, Suite 230
Portland, OR 97227-1630
Fax (503) 413-4898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L3461 (OR) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1003244740
Mary Lisa Gates, LCSW's National Provider Identifier is 1003244740, issued on Oct 16, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 16, 2013.