Organization · Type 2 NPI

Great Blue Heron Counseling LLC

Clinical Social Worker · Portland, OR

NPI number 1154288041 Active

Practice location

4223 SE 66th Ave
Portland, OR 97206-3658

Call (503) 400-3265 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1154288041

Great Blue Heron Counseling LLC's National Provider Identifier is 1154288041, issued on Jan 5, 2026. 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 5, 2026.