Individual provider · Type 1 NPI

Collin White-Pedeaux

Clinical Social Worker · Portland, OR

NPI number 1508206996 Active

Practice location

1825 NE Glisan St
Portland, OR 97232-2844

Call (503) 963-7676 Map

Fax (503) 764-9042

Mailing address

4101 NE Division St, 100
Gresham, OR 97030-4617

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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…

54 other providers at this address

Other clinical social worker providers in Portland

See all in Portland →

About NPI 1508206996

Collin White-Pedeaux's National Provider Identifier is 1508206996, issued on Jun 28, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2020.