Individual provider · Type 1 NPI

Suzan Diane Kingma, LCSW

Clinical Social Worker · Clackamas, OR

NPI number 1194968172 Active

Practice location

9800 SE Sunnyside Rd
Clackamas, OR 97015-9750

Call (503) 652-2880 Map

Mailing address

9583 SE Denali Dr
Happy Valley, OR 97086-7307

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3709 (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 1194968172

Suzan Diane Kingma, LCSW's National Provider Identifier is 1194968172, issued on Apr 7, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clackamas, OR. The record was last updated on Apr 7, 2009.