Susan H Dawdy, 1041C0700X
Susan H Dawdy, 1041C0700X is a Clinical Social Worker in Portland, Oregon. Qualified in 1999, 27 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Oregon.
- Years since qualifying
- 27
- Licensed in
- MA, OR
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4241 SE 15th AvePortland, OR 97202-3927
Phone: (413) 281-5130
Fax: (413) 961-2574
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence L7014 (OR) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 113862 (MA) |
Record details
| NPI number | 1619017142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | 1041C0700X |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2007 |
| Last updated in NPPES | August 18, 2020 |
| Certification date | August 18, 2020 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Mindful Therapy Group Pc — 646 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Medicare patients and services, 2024
| Medicare patients | 29 |
|---|---|
| Services billed | 363 |
| Average patient age | 70 |
Colleagues at Mindful Therapy Group PC
- Davita Adanuvor Acute Care Nurse Practitioner · Espanola, NM
- Sarah Allen, PSYD Counselor · Longview, WA
- Elizabeth Ann Anderson, CSWA Clinical Social Worker · Portland, OR
- Samantha Coley, MA, LCHMC, LPC Mental Health Counselor · Salem, OR
- Aaron Conville, CADCI, LPC-A Mental Health Counselor · Portland, OR
- Emily Nyambura David, PMHNP Psychiatric/Mental Health Nurse Practitioner · Tacoma, WA
- MS. Sara Isabela Garcia Clinical Social Worker · Gilbert, AZ
- Haylee Anne Harris, MSW, LSWAIC Social Worker · Spokane, WA
- Pamela Dawn Russell, LICSW Clinical Social Worker · Yakima, WA
- Valaree Schelhammer, MSW Clinical Social Worker · Tacoma, WA
- Crystal Sheard, LPC Mental Health Counselor · Gilbert, AZ
- Terry Villacruz, LCSW Clinical Social Worker · San Diego, CA
Other providers in Portland
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MS. Katherine Grace Davis, MSW, LCSW
6127 SE Cora St, Portland, OR 97206-3731 · (550) 265-9390
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Kylie Davis, MSW
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Lily Davis, LCSW
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Rebecca E Davis
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Ryan Dawson, LCSW
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Joey Lynn De Armond-Reid
6420 S Macadam Ave Ste 330, Portland, OR 97239-3564 · (503) 477-7878
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Jessica De la Cruz, CSWA
1210 SE Oak St Ste 6, Portland, OR 97214-1427 · (503) 610-3372
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Sarah Beth Deason
5441 S Macadam Ave Ste R, Portland, OR 97239-3822 · (660) 591-3498