Individual provider · Type 1 NPI

Ruth Ann Skodacek, LCSW, QMHP, CADC

Clinical Social Worker · Beaverton, OR

NPI number 1124124839 Active

Practice location

14195 SW Millikan Way
Beaverton, OR 97005-2307

Call (503) 644-2545 Map

Fax (503) 644-0379

Mailing address

3210 SW Carson St
Portland, OR 97219-3766

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL3768 (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 1124124839

Ruth Ann Skodacek, LCSW, QMHP, CADC's National Provider Identifier is 1124124839, issued on Sep 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaverton, OR. The record was last updated on Sep 11, 2025.