Individual provider · Type 1 NPI

Mary Jayne Wykowski, LCSW

Clinical Social Worker · Portland, OR

NPI number 1861689978 Active

Practice location

2415 SE 43rd Ave
Portland, OR 97206-1600

Call (503) 872-0168 Map

Mailing address

2935 NW 154th Ave
Beaverton, OR 97006-5351

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Social Worker Primary 1041C0700XL4960 (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 1861689978

Mary Jayne Wykowski, LCSW's National Provider Identifier is 1861689978, issued on Oct 2, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 26, 2011.