Individual provider · Type 1 NPI

Stacey Marlene Keller, LCSW

Clinical Social Worker · Portland, OR

NPI number 1316590144 Active

Practice location

4400 NE Halsey St
Portland, OR 97213-1545

Call (971) 263-3942 Map

Mailing address

4204 SE 63rd Ave
Portland, OR 97206-3767

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL7752 (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 1316590144

Stacey Marlene Keller, LCSW's National Provider Identifier is 1316590144, issued on Jul 21, 2019. 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 27, 2023.