Individual provider · Type 1 NPI
Timothy M. McNichol
Clinical Social Worker · Portland, OR
Practice location
1212 SW Clay St Apt 711
Portland, OR 97201-7827
Fax (503) 238-5202
Mailing address
6851 S Evans Ave
Chicago, IL 60637-4118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 149020101 (IL) |
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 1861790446
Timothy M. McNichol's National Provider Identifier is 1861790446, issued on Mar 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Mar 13, 2018.