Individual provider · Type 1 NPI

Quinn Elle Lake, LCSW

Clinical Social Worker · Tigard, OR

NPI number 1184216293 Active

Practice location

12008 SW Garden Pl
Tigard, OR 97223-8263

Mailing address

8623 SW Holly Ln Unit 707
Wilsonville, OR 97070-8645

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL7398 (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 1184216293

Quinn Elle Lake, LCSW's National Provider Identifier is 1184216293, issued on Feb 9, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tigard, OR. The record was last updated on Feb 9, 2021.