Individual provider · Type 1 NPI

Kristine Midyett, LCSW

Clinical Social Worker · Portland, OR

NPI number 1366800591 Active

Practice location

621 SW Alder St, Suite 400
Portland, OR 97205-3626

Call (800) 435-2197 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL5949 (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 1366800591

Kristine Midyett, LCSW's National Provider Identifier is 1366800591, issued on Feb 2, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2016.