IndividualActive
Alycia Smith
NPI 1679939920 · Clinical Social Worker · Gresham, OR
Provider details
- NPI number
- 1679939920
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- CG60615744 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
510 Ne Roberts Ave Ste 200
Gresham, OR 97030-7484
Phone: (971) 220-2496
Approximate (ZIP-level) locationGet directions
Mailing address
4233 Se 182nd Ave # 212
Gresham, OR 97030-5082
Registry dates
- Enumerated
- 2015-12-31
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.