Individual provider · Type 1 NPI

Crystal Joan Covelle

Clinical Social Worker · Portland, OR

NPI number 1194575993 Active

Practice location

1425 NE Ainsworth St
Portland, OR 97211-4254

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA14720 (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 1194575993

Crystal Joan Covelle's National Provider Identifier is 1194575993, issued on Mar 25, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Mar 30, 2026.