Individual provider · Type 1 NPI

Alyssa K. Petterson, LCSW

Clinical Social Worker · Portland, OR

NPI number 1790446854 Active

Practice location

5151 SE Holgate Blvd Apt 204
Portland, OR 97206-3887

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL8171 (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 1790446854

Alyssa K. Petterson, LCSW's National Provider Identifier is 1790446854, issued on Dec 31, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Dec 31, 2021.