Individual provider · Type 1 NPI

John Gregory Sickler, LCSW

Clinical Social Worker · Portland, OR

NPI number 1114002664 Active

Practice location

511 SW 10th Ave, Suite 614
Portland, OR 97205-2732

Call (503) 307-4112 Map

Mailing address

10595 SW Lucas Ct
Tualatin, OR 97062-8414

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3493 (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 1114002664

John Gregory Sickler, LCSW's National Provider Identifier is 1114002664, issued on Oct 25, 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 Jan 18, 2012.