Organization · Type 2 NPI
Radical Healing Psychotherapy, LLC
Clinical Social Worker · Portland, OR
Practice location
5020 NE Martin Luther King Blvd
Portland, OR 97211-3204
Mailing address
15200 SW Sparrow Loop Unit 102
Beaverton, OR 97007-9358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1710868443
Radical Healing Psychotherapy, LLC's National Provider Identifier is 1710868443, issued on Sep 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 9, 2025.