Individual provider · Type 1 NPI

Suzanne Kapuamailani Wallace, MSW, ASW, LCSW

Clinical Social Worker · Portland, OR

NPI number 1467587618 Active

Practice location

9911 SE Mount Scott Blvd
Portland, OR 97266-6302

Call (503) 258-4200 Map

Mailing address

9911 SE Mt.scott Boulevard
Portland, OR 97266

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3489 (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 1467587618

Suzanne Kapuamailani Wallace, MSW, ASW, LCSW's National Provider Identifier is 1467587618, issued on Feb 21, 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 Nov 1, 2013.