Individual provider · Type 1 NPI
Cecilia Koukoumanos
Clinical Social Worker · Portland, OR
Practice location
17727 E Burnside St
Portland, OR 97233-4803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | A4887 (OR) |
| Clinical Social Worker Primary | 1041C0700X | L10321 (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 1861902256
Cecilia Koukoumanos's National Provider Identifier is 1861902256, issued on Oct 11, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Oct 8, 2020.