Individual provider · Type 1 NPI

Lisa Ellen Lewis Cavallo, LCSW

Clinical Social Worker · Portland, OR

NPI number 1033253281 Active

Practice location

6221 NE Fremont St, #103
Portland, OR 97213-4437

Fax (503) 772-4776

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X01814 (OR)
Clinical Social Worker 1041C0700XLW00005085 (WA)
Clinical Social Worker 1041C0700XPENDING (MN)

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 1033253281

Lisa Ellen Lewis Cavallo, LCSW's National Provider Identifier is 1033253281, issued on Feb 19, 2007. 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.