Individual provider · Type 1 NPI

Ashley Sullivan, LCSW

Clinical Social Worker · Portland, OR

NPI number 1013292630 Active

Practice location

6118 SE Belmont St Ste 317
Portland, OR 97215-1982

Call (971) 328-4279 Map

Fax (971) 238-1516

Mailing address

PO Box 33963
Portland, OR 97292-3963

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL6245 (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 1013292630

Ashley Sullivan, LCSW's National Provider Identifier is 1013292630, issued on Oct 14, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jan 17, 2025.