Individual provider · Type 1 NPI

Clark Hazel

Clinical Social Worker · Portland, OR

NPI number 1184238024 Active

Practice location

14600 NW Cornell Rd
Portland, OR 97229-5442

Call (503) 645-3581 Map

Mailing address

PO Box 3808
Portland, OR 97208-3808

Other practice locations

  • 2222 NW Lovejoy St Ste 606, Portland, OR 97210 · (503) 413-5915

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL14056 (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 1184238024

Clark Hazel's National Provider Identifier is 1184238024, issued on Sep 8, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Dec 17, 2024.