Individual provider · Type 1 NPI

Marlen Shirley Conrad, LCSW

Clinical Social Worker · Portland, OR

NPI number 1003922741 Active

Practice location

1962 NW Kearney St, Suite 205
Portland, OR 97209-1400

Fax (503) 331-7196

Mailing address

4125 NE 17th Ave
Portland, OR 97211-5131

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1693 (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 1003922741

Marlen Shirley Conrad, LCSW's National Provider Identifier is 1003922741, issued on Aug 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.