Organization · Type 2 NPI

Portland Trauma and Dissociation Specialists LLC

Clinical Social Worker · Portland, OR

NPI number 1619854148 Active

Practice location

1831 SE 7th Ave
Portland, OR 97214-3578

Call (971) 895-1751 Map

Mailing address

PO Box 14701
Portland, OR 97293-0701

Specialties and licenses

TaxonomyCodeLicense
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…

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About NPI 1619854148

Portland Trauma and Dissociation Specialists LLC's National Provider Identifier is 1619854148, issued on Aug 18, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Aug 18, 2025.