Individual provider · Type 1 NPI

Sage Longbotham

Clinical Social Worker · Tigard, OR

NPI number 1508548660 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Call (503) 726-3740 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XSC61562531 (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 1508548660

Sage Longbotham's National Provider Identifier is 1508548660, issued on Aug 7, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tigard, OR. The record was last updated on Oct 17, 2024.