Individual provider · Type 1 NPI

Kevin David Michael Menasco, L.C.S.W.

Clinical Social Worker · Portland, OR

NPI number 1225475387 Active

Practice location

32 NE 11th Ave
Portland, OR 97232

Call (978) 979-6094 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700XL9518 (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 1225475387

Kevin David Michael Menasco, L.C.S.W.'s National Provider Identifier is 1225475387, issued on May 30, 2013. 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 9, 2022.