Individual provider · Type 1 NPI

Kevin C. Miyasato, LCSW

Clinical Social Worker · Beaverton, OR

NPI number 1184902504 Active

Practice location

12725 SW Millikan Way, Suite 300
Beaverton, OR 97005-1678

Fax (503) 906-7871

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00686 (NV)
Clinical Social Worker 1041C0700X5214-S (NV)
Clinical Social Worker Primary 1041C0700X5855 (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 1184902504

Kevin C. Miyasato, LCSW's National Provider Identifier is 1184902504, issued on Aug 2, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaverton, OR. The record was last updated on Jun 6, 2014.