Individual provider · Type 1 NPI

Susan E. Balloun, MSW

Clinical Social Worker · Portland, OR

NPI number 1649335936 Active

Practice location

3310 SE Division St
Portland, OR 97202-1457

Fax (503) 226-4336

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2246 (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 1649335936

Susan E. Balloun, MSW's National Provider Identifier is 1649335936, issued on Dec 27, 2006. 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.