Individual provider · Type 1 NPI

David Ebaugh, LCSW

Clinical Social Worker · Portland, OR

NPI number 1619015153 Active

Practice location

2303 E Burnside St
Portland, OR 97214-1655

Call (503) 245-3370 Map

Mailing address

6315 N Campbell Ave
Portland, OR 97217-4914

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL003678 (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 1619015153

David Ebaugh, LCSW's National Provider Identifier is 1619015153, issued on Feb 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.