Individual provider · Type 1 NPI

Sherry Denise Bohannan, LCSW

Clinical Social Worker · Portland, OR

NPI number 1730458548 Active

Practice location

2701 NW Vaughn St Ste 140
Portland, OR 97210-5344

Call (503) 499-5200 Map

Mailing address

802 SE 47th Ave
Portland, OR 97215-1717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2068 (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 1730458548

Sherry Denise Bohannan, LCSW's National Provider Identifier is 1730458548, issued on Dec 22, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jan 18, 2012.