Individual provider · Type 1 NPI
Nicole Gano, LCSW
Clinical Social Worker · Portland, OR
Practice location
1936 SE Insley St
Portland, OR 97202-4835
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L18739 (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 1336053719
Nicole Gano, LCSW's National Provider Identifier is 1336053719, issued on Oct 1, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 1, 2026.