Individual provider · Type 1 NPI

Susan J. Kiley, LICSW, LMP, LMT

Clinical Social Worker · Portland, OR

NPI number 1275782591 Active

Practice location

2734 NE Bryce St
Portland, OR 97212-1638

Mailing address

2734 NE Bryce St.
Portland, OR 97212

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW00006247 (WA)

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 1275782591

Susan J. Kiley, LICSW, LMP, LMT's National Provider Identifier is 1275782591, issued on Sep 10, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 10, 2008.