Individual provider · Type 1 NPI

Amanda Cenzina Antenucci, MSW, LCSW

Clinical Social Worker · Portland, OR

NPI number 1861570897 Active

Practice location

8414 SW Barbur Blvd Ste 203
Portland, OR 97219-4018

Call (503) 893-5628 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X61405194 (WA)
Clinical Social Worker Primary 1041C0700XL6444 (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 1861570897

Amanda Cenzina Antenucci, MSW, LCSW's National Provider Identifier is 1861570897, issued on Nov 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2025.