Individual provider · Type 1 NPI

Tara Martin, LCSW

Clinical Social Worker · Portland, OR

NPI number 1336643105 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Call (503) 669-3900 Map

Mailing address

1873 SW 33rd St
Gresham, OR 97080-8563

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL6971 (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 1336643105

Tara Martin, LCSW's National Provider Identifier is 1336643105, issued on Mar 19, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Dec 28, 2021.