Individual provider · Type 1 NPI

Alice Marie Sampson, CSWA/CADC II

Clinical Social Worker · Portland, OR

NPI number 1235671637 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X93-02-02 (OR)
Clinical Social Worker Primary 1041C0700XA3588 (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 1235671637

Alice Marie Sampson, CSWA/CADC II's National Provider Identifier is 1235671637, issued on Nov 16, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Nov 16, 2016.