AMANDA SULLIVAN LCSW
NPI 1225973423
Social Worker - Clinical in Portland, OR

Active since April 22, 2026
4400 NE HALSEY ST, PORTLAND, OR 97213(503) 679-1670 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Sullivan Lcsw NPPES

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

AMANDA SULLIVAN LCSW (NPI 1225973423) is an individual clinical provider in Portland, Oregon, licensed in (L5524) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1225973423
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMANDA SULLIVANCredential: LCSW
Location Address4400 NE HALSEY STPortland, OR 97213-1545
Mailing Address4400 Ne Halsey StPortland, OR 97213-1545 · (503) 679-1670
Sole ProprietorYes
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
NPI 1225973423 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 · L5524
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.

4400 NE HALSEY ST, Portland, OR 97213

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.

Pharmacist (Ambulatory Care)
4400 NE HALSEY ST, BUILDING 2 SUITE 490
PORTLAND, OR 97213
Registered Nurse (Ambulatory Care)
4400 NE HALSEY ST
PORTLAND, OR 97213
Pharmacist (Pharmacotherapy)
4400 NE HALSEY ST, 4TH FLOOR
PORTLAND, OR 97213
Clinical Nurse Specialist
4400 NE HALSEY ST
PORTLAND, OR 97213
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
4400 NE HALSEY ST, BUILDING 1, STE 200
PORTLAND, OR 97213
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE HALSEY ST, BLDG 1, STE 200
PORTLAND, OR 97213
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE HALSEY ST, BLDG 1, STE 200
PORTLAND, OR 97213
Pathology (Anatomic Pathology & Clinical Pathology)
4400 NE HALSEY ST, BLDG #3 PATHOLOGY AND LABORATORY
PORTLAND, OR 97213

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 Amanda Sullivan's NPI number?

The NPI number for Amanda Sullivan is 1225973423. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Amanda Sullivan located?

Amanda Sullivan practices at 4400 NE Halsey St, Portland, OR 97213. The listed phone number is (503) 679-1670.

What is Amanda Sullivan'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 Amanda Sullivan was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.