Mark Licitra, LCSW
NPI 1568821973 · Clinical Social Worker · Portland, OR
Mark Licitra, LCSW is a Clinical Social Worker provider in Portland, OR (NPI 1568821973).
Provider details
- NPI number
- 1568821973
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LW61618529 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3710 Sw US Veterans Hospital RdPortland, OR 97239-2964Phone: (503) 220-8262
Registry dates
- Enumerated
- 2016-02-12
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Mark Licitra's NPI number?
- Mark Licitra's National Provider Identifier (NPI) is 1568821973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Licitra's specialty?
- Mark Licitra is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mark Licitra located?
- Mark Licitra's practice location on file with NPPES is 8613 Se 8th Ave, Portland, OR 97202-7002.
- What is Mark Licitra's phone number?
- The practice phone number listed in the NPPES registry for Mark Licitra is (215) 490-6557.
- Is Mark Licitra's NPI active?
- Yes — Mark Licitra's NPI (1568821973) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.