Individual provider · Type 1 NPI
Stacy Lee Lange, MSW, LCSW, CADCII
Clinical Social Worker · Lake Oswego, OR
Practice location
15100 Boones Ferry Rd Ste 700C
Lake Oswego, OR 97035
Fax (503) 635-9127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 96-10-83 (OR) |
| Clinical Social Worker Primary | 1041C0700X | 4164 (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 1396971735
Stacy Lee Lange, MSW, LCSW, CADCII's National Provider Identifier is 1396971735, issued on May 29, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Oswego, OR. The record was last updated on May 17, 2018.