Individual provider · Type 1 NPI

Louis Carl Wackerle, MSSW

Clinical Social Worker · Portland, OR

NPI number 1174842512 Active

Practice location

4805 NE Glisan, 3M16
Portland, OR 97225

Mailing address

Box 408, 7327 SW Barnes Rd
Portland, OR 97225

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0186 (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 1174842512

Louis Carl Wackerle, MSSW's National Provider Identifier is 1174842512, issued on May 25, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on May 25, 2010.