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INNER COURAGE LLC NPI 1700906047


NPI Profile

NPI: 1700906047
Provider Name: INNER COURAGE LLC
Classification:Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
21 NE ALBERTA ST
PORTLAND, OR
ZIP 97211
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Phone: (503) 341-4325

INNER COURAGE LLC 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. INNER COURAGE LLC NPI is 1700906047. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 NE ALBERTA ST
PORTLAND, OR
ZIP 97211-601
Phone: (503) 341-4325

The provider's authorized official is Carol Maker .
The authorized official title is Member and has the following contact phone number (503) 341-4325.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 3/28/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor2953OREGONNo
2101YA0400XCounselorAddiction (Substance Use Disorder)2953OREGONNo
3101YM0800XCounselorMental Health2953OREGONNo
4104100000XSocial Worker2953OREGONNo
5106H00000XMarriage & Family Therapist2953OREGONNo
61041C0700XSocial WorkerClinical2953OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1808138000OTHEROREGONREGENCE BCBS OF OREGON

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: 9/12/2021

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