Individual provider · Type 1 NPI

Keelan Denise Memory

Clinical Social Worker · Portland, OR

NPI number 1316831555 Active

Practice location

1904 SE Division St
Portland, OR 97202-1146

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Marriage & Family Therapist 106H00000XNone 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 1316831555

Keelan Denise Memory's National Provider Identifier is 1316831555, issued on Jun 4, 2025. 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 4, 2025.