Individual provider · Type 1 NPI

Ebonie Nicole Henderson

Clinical Social Worker · Tigard, OR

NPI number 1730367616 Active

Practice location

7100 SW Hampton St Ste 223
Tigard, OR 97223-8364

Call (503) 342-2510 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC006788 (NC)

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 1730367616

Ebonie Nicole Henderson's National Provider Identifier is 1730367616, issued on Feb 4, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tigard, OR. The record was last updated on Mar 25, 2024.