Individual provider · Type 1 NPI

Melissa Fry, MSW, LCSW

Clinical Social Worker · Portland, OR

NPI number 1134627243 Active

Practice location

1221 SW Yamhill St Ste 301
Portland, OR 97205-2110

Call (503) 226-7079 Map

Fax (503) 226-1130

Mailing address

5123 SE 58th Ave
Portland, OR 97206-4835

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL8249 (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 1134627243

Melissa Fry, MSW, LCSW's National Provider Identifier is 1134627243, issued on Jan 24, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Aug 27, 2019.