Individual provider · Type 1 NPI

Joe Louis Bertagnolli, LCSW

Clinical Social Worker · Portland, OR

NPI number 1114581964 Active

Practice location

3710 SW US Veterans Hospital Rd # P3MHDC
Portland, OR 97239-2964

Mailing address

3817 SW Huber St
Portland, OR 97219-6181

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL6863 (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 1114581964

Joe Louis Bertagnolli, LCSW's National Provider Identifier is 1114581964, issued on Apr 26, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Apr 26, 2019.