Individual provider · Type 1 NPI

Susan Ann Ponton, LCSW

Clinical Social Worker · Portland, OR

NPI number 1104115849 Active

Practice location

10130 NE Skidmore St
Portland, OR 97220-3570

Fax (971) 279-4634

Mailing address

1014 Main Street
Vancouver, WA 98660

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL8443 (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 1104115849

Susan Ann Ponton, LCSW's National Provider Identifier is 1104115849, issued on Apr 4, 2011. 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 29, 2019.