Individual provider · Type 1 NPI

John Pank, LCSW

Clinical Social Worker · Portland, OR

NPI number 1013179316 Active

Practice location

205 NE 50th Ave
Portland, OR 97213-2909

Fax (503) 215-2688

Mailing address

PO Box 3395
Portland, OR 97208-3395

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X775 (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 1013179316

John Pank, LCSW's National Provider Identifier is 1013179316, issued on Jun 27, 2008. 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 27, 2008.