IndividualActive
Theresa Willett, LCSW
NPI 1023410495 · Clinical Social Worker · Portland, OR
Theresa Willett, LCSW is a Clinical Social Worker provider in Portland, OR (NPI 1023410495).
Provider details
- NPI number
- 1023410495
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- L3145 (OR)
Practice location
200 Se 7th Ave
Portland, OR 97214-1200
Phone: (503) 235-0131
Fax: (503) 239-7390
Street-level locationGet directions
Mailing address
3910 Se Stark St
Portland, OR 97214-3241
Registry dates
- Enumerated
- 2014-09-17
- Last updated
- 2014-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.