Individual provider · Type 1 NPI

Brenda Bonilla

Clinical Social Worker · Portland, OR

NPI number 1003342155 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-2273 Map

Fax (503) 494-6023

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 8019 Compton Ave, Los Angeles, CA 90001-3409 · (323) 586-7333
  • 1400 S Grand Ave, Suite 600, Los Angeles, CA 90015-3048 · (213) 742-6250
  • 3939 Atlantic Ave Ste 103, Long Beach, CA 90807-3529 · (562) 264-6001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X97763 (CA)
Clinical Social Worker Primary 1041C0700XL11371 (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 1003342155

Brenda Bonilla's National Provider Identifier is 1003342155, issued on May 11, 2017. 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 15, 2024.