Individual provider · Type 1 NPI
Kimberly Portugal, LCSW, MPH
Clinical Social Worker · Mesa, AZ
Practice location
1155 S Power Rd Ste 249
Mesa, AZ 85206-3715
Mailing address
10313 E Thornton Ave
Mesa, AZ 85212-8355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 19692 (CA) |
| Clinical Social Worker Primary | 1041C0700X | LCSW18454 (AZ) |
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 1659913655
Kimberly Portugal, LCSW, MPH's National Provider Identifier is 1659913655, issued on Oct 10, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mesa, AZ. The record was last updated on Sep 17, 2021.