Individual provider · Type 1 NPI
Rachel Petke, LCSW
Clinical Social Worker · Portland, OR
Practice location
2800 N Vancouver Ave Ste 207
Portland, OR 97227-1630
Fax (503) 276-9010
Mailing address
PO Box 4037
Portland, OR 97208-4037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 3240 (OR) |
| Clinical Social Worker Primary | 1041C0700X | L3240 (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 1831749985
Rachel Petke, LCSW's National Provider Identifier is 1831749985, issued on Sep 19, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jan 24, 2020.