Individual provider · Type 1 NPI
Dominique Page Dubois, LCSW
Clinical Social Worker · Portland, OR
Practice location
12790 SE Stark St
Portland, OR 97233-1552
Fax (503) 238-2436
Mailing address
6420 S Macadam Ave Ste 330
Portland, OR 97239-3564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker Primary | 1041C0700X | L6771 (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 1477854073
Dominique Page Dubois, LCSW's National Provider Identifier is 1477854073, issued on Nov 12, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Dec 9, 2024.