Individual provider · Type 1 NPI
Onampai Modi Soondarotok, LCSW
Clinical Social Worker · Portland, OR
Practice location
2000 NE 42nd Ave # 1004
Portland, OR 97213-1399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | L11071 (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 1194285411
Onampai Modi Soondarotok, LCSW's National Provider Identifier is 1194285411, issued on Mar 22, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on May 26, 2023.