Individual provider · Type 1 NPI

Theresa Willett, LCSW

Clinical Social Worker · Portland, OR

NPI number 1023410495 Active

Practice location

200 SE 7th Ave
Portland, OR 97214-1200

Call (503) 235-0131 Map

Fax (503) 239-7390

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3145 (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 1023410495

Theresa Willett, LCSW's National Provider Identifier is 1023410495, issued on Sep 17, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2014.