Individual provider · Type 1 NPI

Mary Edson Smith, LCSW

Clinical Social Worker · Gresham, OR

NPI number 1891301990 Active

Practice location

1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774

Call (503) 666-8832 Map

Mailing address

1224 NE 53rd Ave
Portland, OR 97213-2858

Other practice locations

  • 1224 NE 53rd Ave, Portland, OR 97213-2858 · (971) 716-4822

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL10327 (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 1891301990

Mary Edson Smith, LCSW's National Provider Identifier is 1891301990, issued on Sep 23, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gresham, OR. The record was last updated on Sep 23, 2020.