Individual provider · Type 1 NPI

Amanda Roth, LCSW

Clinical Social Worker · Portland, OR

NPI number 1679163000 Active

Practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Call (503) 413-5377 Map

Mailing address

1261 NW Overton St # 143
Portland, OR 97209-3788

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11610 (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 1679163000

Amanda Roth, LCSW's National Provider Identifier is 1679163000, issued on Jan 20, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jan 15, 2024.