Individual provider · Type 1 NPI

Bax Wilder White, MSW

Clinical Social Worker · Portland, OR

NPI number 1972233757 Active

Practice location

3615 NE Grand Ave
Portland, OR 97212-2104

Call (503) 281-1166 Map

Mailing address

8982 N Exeter Ave
Portland, OR 97203-5920

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1972233757

Bax Wilder White, MSW's National Provider Identifier is 1972233757, issued on Jun 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jun 14, 2022.