Individual provider · Type 1 NPI

Elizabeth Peterson

Clinical Social Worker · Portland, OR

NPI number 1073389839 Active

Practice location

1500 NE Irving St Ste 440
Portland, OR 97232-4208

Call (541) 517-9733 Map

Mailing address

6018 SE Stark St
Portland, OR 97215-1990

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1073389839

Elizabeth Peterson's National Provider Identifier is 1073389839, issued on Dec 1, 2023. 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 19, 2025.