PHYLLIS BRADLEY MAYNARD MSW, LCSW
NPI 1023368495
Social Worker - Clinical in Portland, OR

Active since September 13, 2012
14600 NW CORNELL RD, PORTLAND, OR 97229(503) 645-3581(503) 629-8517 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis Bradley Maynard Msw, Lcsw NPPES

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

PHYLLIS BRADLEY MAYNARD MSW, LCSW (NPI 1023368495) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L419) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1023368495
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS BRADLEY MAYNARDCredential: MSW, LCSW
Location Address14600 NW CORNELL RDPortland, OR 97229-5442
Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442 · (503) 645-3581 · Fax (503) 629-8517
Fax(503) 629-8517
Sole ProprietorNo
Enumeration DateSeptember 13, 2012
NPI 1023368495 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 · L419
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.

14600 NW CORNELL RD, Portland, OR 97229

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.

Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Counselor
14600 NW CORNELL RD
PORTLAND, OR 97229
Case Manager/Care Coordinator
14600 NW CORNELL RD
PORTLAND, OR 97229
Counselor (Professional)
14600 NW CORNELL RD
PORTLAND, OR 97229
Counselor (Mental Health)
14600 NW CORNELL RD
PORTLAND, OR 97229

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 Phyllis Maynard's NPI number?

The NPI number for Phyllis Maynard is 1023368495. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Phyllis Maynard located?

Phyllis Maynard practices at 14600 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 645-3581.

What is Phyllis Maynard'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 Phyllis Maynard was last updated on September 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.