Individual provider · Type 1 NPI
Ardyn R. Wyatt, LCSW
Clinical Social Worker · Portland, OR
Practice location
2015 NW Flanders St Apt 106
Portland, OR 97209-1165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L16555 |
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 1477070068
Ardyn R. Wyatt, LCSW's National Provider Identifier is 1477070068, issued on Aug 24, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jun 12, 2025.