Individual provider · Type 1 NPI

Tim John Hagge, LCSW

Clinical Social Worker · Portland, OR

NPI number 1073953014 Active

Practice location

818 NW 17th Ave, Suite 10
Portland, OR 97209-2327

Mailing address

7010 SW 63rd Ave
Portland, OR 97219-1180

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL2408 (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 1073953014

Tim John Hagge, LCSW's National Provider Identifier is 1073953014, issued on Jul 3, 2013. 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 3, 2013.