Organization · Type 2 NPI

Dynamic Therapy Alliance, LLC

Clinical Social Worker · Portland, OR

NPI number 1356136642 Active

Practice location

2404 SE 113th Ave
Portland, OR 97216-4042

Call (971) 259-8022 Map

Fax (971) 484-4002

Mailing address

2404 SE 113th Ave Apt A
Portland, OR 97216-4042

Specialties and licenses

TaxonomyCodeLicense
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 1356136642

Dynamic Therapy Alliance, LLC's National Provider Identifier is 1356136642, issued on Apr 9, 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 Mar 16, 2026.