Individual provider · Type 1 NPI

Suzanne Gail Tiddy, LCSW

Clinical Social Worker · Portland, OR

NPI number 1710097746 Active

Practice location

10373 NE Hancock St, Suite 220
Portland, OR 97220-3873

Call (503) 491-0399 Map

Fax (503) 667-2893

Mailing address

712 SW Miller Ct
Gresham, OR 97080-9396

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL000830 (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 1710097746

Suzanne Gail Tiddy, LCSW's National Provider Identifier is 1710097746, issued on Aug 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.