Individual provider · Type 1 NPI

Nicole Lavonne Altstadt, MSW, CSWA

Clinical Social Worker · Gresham, OR

NPI number 1306507629 Active

Practice location

4295 SW Tegart Ln
Gresham, OR 97080-8653

Call (503) 545-9939 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA5691 (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 1306507629

Nicole Lavonne Altstadt, MSW, CSWA's National Provider Identifier is 1306507629, issued on Jan 8, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gresham, OR. The record was last updated on Jan 8, 2022.