Individual provider · Type 1 NPI

Laurel Gail Mansoor, LCSW, CADC1

Clinical Social Worker · Portland, OR

NPI number 1356482780 Active

Practice location

621 SW Alder St Ste 520
Portland, OR 97205-3620

Fax (503) 494-4747

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4502 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X10-09-34 (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 1356482780

Laurel Gail Mansoor, LCSW, CADC1's National Provider Identifier is 1356482780, issued on Feb 9, 2007. 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 22, 2015.