Individual provider · Type 1 NPI

Ryan Weller, LCSW

Clinical Social Worker · Portland, OR

NPI number 1104932532 Active

Practice location

3710 SW US Veterans Hospital Rd, P5-SWS
Portland, OR 97239-2964

Mailing address

PO Box 1034, P2-SWS
Portland, OR 97207-1034

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3430 (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 1104932532

Ryan Weller, LCSW's National Provider Identifier is 1104932532, issued on Aug 21, 2006. 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 10, 2007.