Individual provider · Type 1 NPI

Eddie Mark Mounivong, MSW

Clinical Social Worker · Portland, OR

NPI number 1194329342 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Call (503) 220-8262 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1194329342

Eddie Mark Mounivong, MSW's National Provider Identifier is 1194329342, issued on Nov 29, 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 Jun 16, 2021.