Individual provider · Type 1 NPI

Mark Vaught, LCSW

Clinical Social Worker · Portland, OR

NPI number 1871893750 Active

Practice location

33 NW Broadway
Portland, OR 97209-3580

Call (503) 228-7134 Map

Fax (503) 445-0749

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4625 (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 1871893750

Mark Vaught, LCSW's National Provider Identifier is 1871893750, issued on Oct 26, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Apr 20, 2012.