Individual provider · Type 1 NPI

Tara Misra, MS, MSW

Clinical Social Worker · Portland, OR

NPI number 1417620154 Active

Practice location

1235 SE Division St
Portland, OR 97202-1099

Call (360) 726-4141 Map

Mailing address

4620 SE 40th Ave Apt 1
Portland, OR 97202-4091

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA12635 (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 1417620154

Tara Misra, MS, MSW's National Provider Identifier is 1417620154, issued on Jul 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2021.