Organization · Type 2 NPI

Depth Brainspotting

Clinical Social Worker · Portland, OR

NPI number 1992560148 Active

Practice location

1110 SE Alder St Ste 301
Portland, OR 97214-2400

Call (503) 744-7269 Map

Fax (503) 506-6974

Mailing address

5638 Lake Murray Blvd # 216
La Mesa, CA 91942-1929

Other practice locations

  • 2525 Camino Del Rio S Ste 315, San Diego, CA 92108-3784 · (503) 744-7269

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 1992560148

Depth Brainspotting's National Provider Identifier is 1992560148, issued on Feb 16, 2024. 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, 2026.