Individual provider · Type 1 NPI

Myra Bazell, LCSW

Clinical Social Worker · Portland, OR

NPI number 1659627024 Active

Practice location

820 NW 12th Ave Apt 606
Portland, OR 97209-3052

Other practice locations

  • 877 Penn Ave NE, Atlanta, GA 30309-4228 · (215) 917-3367

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW005321 (GA)
Clinical Social Worker Primary 1041C0700XL8297 (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 1659627024

Myra Bazell, LCSW's National Provider Identifier is 1659627024, issued on Aug 3, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on May 2, 2020.