DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SEAN ROBERT DERRICKSON III, MSW

Active Sole Proprietor

MR. SEAN ROBERT DERRICKSON III, MSW is a Clinical Social Worker healthcare provider located in PORTLAND, Oregon. NPI 1295170421 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORTLAND, OR

Registration Details

NPI Number
1295170421
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2013 (13.276879186302 yrs)
Last Updated
May 1, 2013
License
3242 (OR)
Sole Proprietor
Yes

Practice Information

Address
4610 SE BELMONT ST
SUITE 10
PORTLAND, OR, 972151752
Browse OR providers · Browse ZIP 97215
Phone
5039884450
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PORTLAND, OR

Name Credential NPI
LAURANELL SCARFO LCSW 1659371169
LAURA L WOZNIAK LCSW 1487642047
SUSAN SHERWOOD LCSW 1144219114
KAREN ST CLAIR LCSW 1124017199
ARTICE E GEARY LCSW 1508856188
MS. SABRINA ULLMANN MATHEWS LCSW 1235110248
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.