Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891301990 Individual Practitioner Female Practitioner

Mary Edson Smith , LCSW

Social Worker - Clinical • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Mary Smith, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Gresham, OR. Practice services are available at 1700 NW CIVIC DR STE 310 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Nw Civic Dr Ste 310

Gresham, OR 970303774

Telephone 5036668832
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
73 Specialists

Practicing in Gresham, OR (5148 Statewide)

Telehealth Adoption Rate
5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-23
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OR L10327

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Practice Locations

1224 Ne 53rd Ave

Portland, OR 972132858

Phone: 9717164822

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Chelsea Trujillo , LCSW

Social Worker - Clinical

NPI 1013376060

Licensed Clinical Social Worker

Sonny Snyder , QMHP-R

Counselor - Professional

NPI 1013771344

QMHPR

NPI 1063761716

Doctor of Psychology (Psy.D.)

Lindsey Romo , CSWA

Social Worker - Clinical

NPI 1083492292
Timothy Gazdziak , LPC

Counselor - Mental Health

NPI 1083814677

Licensed Professional Counselor

Shayna Carter , MA

Counselor - Professional

NPI 1114172285

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2020

Registered at 1700 NW CIVIC DR STE 310, GRESHAM, OR 970303774 (Tel: 5036668832)

📍
Updated Business Mailing Address September 23, 2020

Registered at 1224 NE 53RD AVE, PORTLAND, OR 972132858 (Tel: 9717164822)

👤
Provider Name / Credentials Updated September 23, 2020

Recorded as MARY SMITH, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2020

Social Worker (License #L10327 in OR)

🟢
Initial NPI Registration & Enumeration September 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891301990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2020
Last Update: September 23, 2020
Sole Proprietor: No

Mailing Address

1224 Ne 53rd Ave

Portland, OR 972132858

Phone: 9717164822

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.