MS. MARY E. IANNUCCILLO MSW
NPI 1023231982
Social Worker - Clinical in Portland, OR

Active since April 10, 2007
2250 NW FLANDERS ST, SUITE 103, PORTLAND, OR 97210(503) 796-9242(503) 657-8310 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary E. Iannuccillo Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY E. IANNUCCILLO MSW (NPI 1023231982) is an individual clinical provider in Portland, Oregon, licensed in Oregon (0759) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1023231982
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY E. IANNUCCILLOCredential: MSW
Location Address2250 NW FLANDERS ST, SUITE 103Portland, OR 97210-3443
Mailing Address2250 Nw Flanders St, Suite 103Portland, OR 97210-3443 · (503) 796-9242 · Fax (503) 657-8310
Fax(503) 657-8310
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1023231982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · 0759
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2250 NW FLANDERS ST, Portland, OR 97210

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2250 NW FLANDERS ST, SUITE #300
PORTLAND, OR 97210
Acupuncturist
2250 NW FLANDERS ST, STE 205
PORTLAND, OR 97210
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2250 NW FLANDERS ST, SUITE 103
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
2250 NW FLANDERS ST, SUITE 306
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
2250 NW FLANDERS ST, SUITE 301
PORTLAND, OR 97210
Family Medicine
2250 NW FLANDERS ST, STE 301
PORTLAND, OR 97210
Physical Therapist
2250 NW FLANDERS ST, SUITE GARDEN 01
PORTLAND, OR 97210
Marriage & Family Therapist
2250 NW FLANDERS ST, SUITE 301
PORTLAND, OR 97210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Iannuccillo's NPI number?

The NPI number for Mary Iannuccillo is 1023231982. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Mary Iannuccillo located?

Mary Iannuccillo practices at 2250 NW Flanders St Suite 103, Portland, OR 97210. The listed phone number is (503) 796-9242.

What is Mary Iannuccillo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Iannuccillo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.