Individual provider · Type 1 NPI

James Earl Reavis, LCSW

Clinical Social Worker · Portland, OR

NPI number 1992854665 Active

Practice location

1133 NW 21st Ave
Portland, OR 97209-1513

Call (503) 222-5010 Map

Mailing address

2056 NW Flanders St Apt 3
Portland, OR 97209-1135

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X666 (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 1992854665

James Earl Reavis, LCSW's National Provider Identifier is 1992854665, issued on Jan 10, 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 Jul 8, 2007.