Individual provider · Type 1 NPI
Mackensie Marie Keiner, MSW, CSWA, QMHP
Clinical Social Worker · Beaverton, OR
Practice location
12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Fax (503) 713-5050
Mailing address
605 NW 118th Ave Unit 106
Portland, OR 97229-6670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | A4749 (OR) |
| Mental Health Counselor | 101YM0800X | A4749 (OR) |
| Clinical Social Worker Primary | 1041C0700X | A4749 (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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- Alan Hershman, L.C.S.W.Clinical Social Worker Beaverton, OR NPI 1003360611
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- Phyllis Elzea, L.C.S.W.Clinical Social Worker Beaverton, OR NPI 1033351838
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About NPI 1497274641
Mackensie Marie Keiner, MSW, CSWA, QMHP's National Provider Identifier is 1497274641, issued on Sep 19, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beaverton, OR. The record was last updated on Aug 26, 2020.