IndividualActive
Myra Bazell, LCSW
NPI 1659627024 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1659627024
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSW005321 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
820 Nw 12th Ave Apt 606
Portland, OR 97209-3052
Phone: (215) 917-3367
Street-level locationGet directions
Mailing address
820 Nw 12th Ave Apt 606
Portland, OR 97209-3052
Additional practice locations (1)
- 877 Penn Ave NeAtlanta, GA 30309-4228Phone: (215) 917-3367
Registry dates
- Enumerated
- 2012-08-03
- Last updated
- 2020-05-02
- Certified
- 2020-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.