Individual provider · Type 1 NPI

Carla E. Fadriquela, LCSW

Clinical Social Worker · Beaverton, OR

NPI number 1003373101 Active

Practice location

2980 SW 123rd Ave
Beaverton, OR 97005-1325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW-4328 (HI)
Clinical Social Worker Primary 1041C0700XL7861 (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 1003373101

Carla E. Fadriquela, LCSW's National Provider Identifier is 1003373101, issued on Feb 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaverton, OR. The record was last updated on Feb 25, 2019.