Individual provider · Type 1 NPI

Stacy L. Mandzij, LCSW

Clinical Social Worker · Portland, OR

NPI number 1659890887 Active

Practice location

1310 SW 17th Ave
Portland, OR 97201-2522

Call (503) 231-2641 Map

Fax (503) 467-4077

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL8570 (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 1659890887

Stacy L. Mandzij, LCSW's National Provider Identifier is 1659890887, issued on Sep 19, 2017. 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 13, 2026.