Individual provider · Type 1 NPI
Magdalene Kidd Vasconez
Clinical Social Worker · St. Helens, OR
Practice location
58646 Mcnulty Way
St. Helens, OR 97051-6210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CSW007219 (GA) |
| Clinical Social Worker | 1041C0700X | L15511 (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 1265035158
Magdalene Kidd Vasconez's National Provider Identifier is 1265035158, issued on Nov 21, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Helens, OR. The record was last updated on Nov 25, 2025.