Individual provider · Type 1 NPI

Christina Lynn Clark, LCSW

Clinical Social Worker · Portland, OR

NPI number 1801129267 Active

Practice location

2143 NE Broadway St
Portland, OR 97232-1512

Call (917) 912-9505 Map

Mailing address

2581 NE 31st Ave
Portland, OR 97212-3660

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6547 (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 1801129267

Christina Lynn Clark, LCSW's National Provider Identifier is 1801129267, issued on Sep 16, 2009. 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 25, 2017.