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Ryan L Ellsworth, LCSW,CADCI
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1013447309

Ryan L Ellsworth is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Ryan L Ellsworth practices in Portland, OR and has the professional credentials of LCSW,CADCI. The NPI Number for Ryan L Ellsworth is 1013447309 and holds a License No. A4926 (Oregon).

The current practice location address for Ryan L Ellsworth is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-238-0769.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97239-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013447309
Provider Name
Ryan L Ellsworth
Credential
LCSW,CADCI
Provider Entity Type
Individual
Gender
Male
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97239-3011
Phone Number
503-238-0769
Fax Number
Provider Enumeration Date
06/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
Portland
State
Oregon
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
Portland
State
Oregon
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
19-07-07 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
L8595 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
A4926 (Oregon)
Definition
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.
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