Organization · Type 2 NPI

Healingspaces4u LLC

Clinical Social Worker · Gresham, OR

NPI number 1215587126 Active

Practice location

2951 NW Division St Ste 101
Gresham, OR 97030-5292

Fax (888) 887-8669

Mailing address

10350 N, Vancouver Way
Portland, OR 97217-7530

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone 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 1215587126

Healingspaces4u LLC's National Provider Identifier is 1215587126, issued on Sep 13, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gresham, OR. The record was last updated on Mar 4, 2026.