Individual provider · Type 1 NPI

Athena Phillips, LCSW

Clinical Social Worker · Portland, OR

NPI number 1174859458 Active

Practice location

3583 NE Broadway St
Portland, OR 97232-1820

Fax (503) 827-0299

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XL4462 (OR)
Clinical Social Worker Primary 1041C0700XL4462 (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 1174859458

Athena Phillips, LCSW's National Provider Identifier is 1174859458, issued on Oct 21, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 21, 2009.