Individual provider · Type 1 NPI

Holly Koehmstedt, LMSW

Clinical Social Worker · Portland, OR

NPI number 1699016964 Active

Practice location

537 SE Alder St
Portland, OR 97214-2231

Call (503) 595-3477 Map

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XM5503 (OR)
Clinical Social Worker Primary 1041C0700XA5503 (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 1699016964

Holly Koehmstedt, LMSW's National Provider Identifier is 1699016964, issued on Mar 11, 2013. 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 11, 2013.