Individual provider · Type 1 NPI

Mary Michelle Hickman

Clinical Social Worker · Portland, OR

NPI number 1568182012 Active

Practice location

1235 SE Morrison St Ste 200
Portland, OR 97214-2462

Mailing address

6835 SW Capitol Hill Rd Apt 29
Portland, OR 97219-2663

Other practice locations

  • 6835 SW Capitol Hill Rd Apt 29, Portland, OR 97219-2663 · (503) 746-3373

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA15410 (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 1568182012

Mary Michelle Hickman's National Provider Identifier is 1568182012, issued on Sep 2, 2022. 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 18, 2025.