Organization · Type 2 NPI

Lags Spine and Sportscare Medical Centers, Inc.

Clinical Social Worker · Portland, OR

NPI number 1316468127 Active

Practice location

169 NE 102nd Ave
Portland, OR 97220-4169

Call (503) 477-8645 Map

Fax (503) 208-2826

Mailing address

218 N I St
Lompoc, CA 93436-0909

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1316468127

Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1316468127, issued on Jun 30, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jun 30, 2017.