Individual provider · Type 1 NPI
Miya Gray Abbott, LICENSED CLINICAL SO
Clinical Social Worker · Portland, OR
Practice location
2304 E. Bumside St., Suite 201
Portland, OR 97214
Mailing address
2304 E Burnside St Ste 201
Portland, OR 97214-1689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Clinical Social Worker Primary | 1041C0700X | L4914 (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 1053595785
Miya Gray Abbott, LICENSED CLINICAL SO's National Provider Identifier is 1053595785, issued on Dec 17, 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 Oct 23, 2023.