Individual provider · Type 1 NPI

Deidre Nicole Davis, LCSW

Clinical Social Worker · Portland, OR

NPI number 1174854467 Active

Practice location

9155 SW Barnes Rd Ste 205
Portland, OR 97225-6629

Call (503) 216-2025 Map

Other practice locations

  • 5228 NE Hoyt St, Portland, OR 97213-3055 · (503) 216-6474

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL5937 (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 1174854467

Deidre Nicole Davis, LCSW's National Provider Identifier is 1174854467, issued on Jan 26, 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 Feb 25, 2026.