TRACY BRYCE FARMER LCSW PC NPI 1588052393

NPI Information

  • NPI: 1588052393
  • Provider Name: TRACY BRYCE FARMER LCSW PC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 1020 SW TAYLOR ST
    SUITE 435
    PORTLAND, OR
    ZIP 97205
  • Phone: (503) 841-2722

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NPI Details

TRACY BRYCE FARMER LCSW PC is a clinical social worker in Portland, OR. The provider is 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. TRACY BRYCE FARMER LCSW PC NPI is 1588052393. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 SW TAYLOR ST
SUITE 435
PORTLAND, OR
ZIP 97205-543
Phone: (503) 841-2722
Fax: (541) 668-8013

The provider's authorized official is Tracy Bryce Farmer .
The authorized official title is President and has the following contact phone number (503) 451-3267.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 9/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinical5679OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R184784MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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