Individual provider · Type 1 NPI

Elizabeth Nicole Tyning, LCSW

Clinical Social Worker · Portland, OR

NPI number 1043771975 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-2273 Map

Fax (503) 494-6023

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • Ohsu - Sam Jackson Hall, 3245 SW Pavilion Loop, Portland, OR 97239 · (503) 494-8311

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL14014 (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 1043771975

Elizabeth Nicole Tyning, LCSW's National Provider Identifier is 1043771975, issued on Mar 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2023.