Individual provider · Type 1 NPI

Miranda Tai Campbell Acharya, LCSW

Clinical Social Worker · Portland, OR

NPI number 1801290408 Active

Practice location

6906 N Richards St
Portland, OR 97203-6138

Fax (503) 575-3749

Mailing address

1622 NE Couch St
Portland, OR 97232-3052

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XL8514 (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 1801290408

Miranda Tai Campbell Acharya, LCSW's National Provider Identifier is 1801290408, issued on Oct 10, 2014. 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 11, 2020.