Individual provider · Type 1 NPI
Derrick Long
Clinical Social Worker · Portland, OR
Practice location
4110 NE 122nd Ave
Portland, OR 97230-1300
Mailing address
20679 SW Edgemont St
Beaverton, OR 97003-6048
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…
2 other providers at this address
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About NPI 1740103548
Derrick Long's National Provider Identifier is 1740103548, issued on Jul 30, 2026. 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 30, 2026.