Individual provider · Type 1 NPI
Gia Michele Buckberg, LCSW
Clinical Social Worker · Portland, OR
Practice location
1722 NW Raleigh St Spc 418
Portland, OR 97209-1754
Mailing address
2701 SW Boundary St
Portland, OR 97239-7101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L6820 (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 1609402924
Gia Michele Buckberg, LCSW's National Provider Identifier is 1609402924, issued on Mar 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2020.