Individual provider · Type 1 NPI

Shawna Nicole Rose, LCSW

Clinical Social Worker · Portland, OR

NPI number 1164824090 Active

Practice location

1832 NE Broadway St
Portland, OR 97232-1992

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1164824090

Shawna Nicole Rose, LCSW's National Provider Identifier is 1164824090, issued on Sep 23, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 28, 2023.