Individual provider · Type 1 NPI

Katrina Ann Clark, CSWA

Clinical Social Worker · Portland, OR

NPI number 1003482654 Active

Practice location

1715 E Burnside St Ste 201
Portland, OR 97214-1531

Mailing address

2177 SE Umatilla St
Portland, OR 97202-7414

Other practice locations

  • 2177 SE Umatilla St, Portland, OR 97202-7414 · (808) 343-2163

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA5091 (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 1003482654

Katrina Ann Clark, CSWA's National Provider Identifier is 1003482654, issued on Jun 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jun 2, 2021.