Individual provider · Type 1 NPI

Devora Moon Holland, LCSW

Clinical Social Worker · Portland, OR

NPI number 1982895413 Active

Practice location

5404 N Montana Ave
Portland, OR 97217-4557

Fax (503) 234-2326

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	L3989 NO 051674 (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 1982895413

Devora Moon Holland, LCSW's National Provider Identifier is 1982895413, issued on Aug 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 30, 2010.