Organization · Type 2 NPI

Pacific Mental Health Clinic LLC

Clinical Social Worker · Portland, OR

NPI number 1699535195 Active

Practice location

16323 SE Stark St Ste 102
Portland, OR 97233-3942

Fax (971) 420-2990

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Community/Behavioral Health Agency 251S00000XNone listed

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 1699535195

Pacific Mental Health Clinic LLC's National Provider Identifier is 1699535195, issued on Mar 21, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2026.