Individual provider · Type 1 NPI

Douglas Banasky, MSW, LCSW

Clinical Social Worker · Clackamas, OR

NPI number 1447765250 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Call (503) 652-2880 Map

Mailing address

5200 SE 132nd Ave Apt 5
Portland, OR 97236-4186

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL2928 (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 1447765250

Douglas Banasky, MSW, LCSW's National Provider Identifier is 1447765250, issued on Dec 4, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clackamas, OR. The record was last updated on Dec 4, 2017.