Individual provider · Type 1 NPI

Lotus Teegarden, MSW

Clinical Social Worker · Portland, OR

NPI number 1801270186 Active

Practice location

1940 NE Broadway St
Portland, OR 97232-1502

Call (971) 415-6344 Map

Fax (503) 388-3397

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XL11823 (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 1801270186

Lotus Teegarden, MSW's National Provider Identifier is 1801270186, issued on Jul 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jun 23, 2025.