MRS. NICOLE JON CARROLL MSW
NPI 1407097066
Social Worker - Clinical in Portland, OR

Active since March 11, 2009
3310 SE DIVISION ST, PORTLAND, OR 97202(971) 235-0388 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Jon Carroll Msw NPPES

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

MRS. NICOLE JON CARROLL MSW (NPI 1407097066) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L2658) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1407097066
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICOLE JON CARROLLCredential: MSW
Location Address3310 SE DIVISION STPortland, OR 97202-1457
Mailing Address3310 Se Division StPortland, OR 97202-1457 · (971) 235-0388
Sole ProprietorYes
Enumeration DateMarch 11, 2009
NPI 1407097066 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 · L2658
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.
3310 SE DIVISION ST, Portland, OR 97202

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
3310 SE DIVISION ST, 2ND FLOOR
PORTLAND, OR 97202
Counselor (Mental Health)
3310 SE DIVISION ST
PORTLAND, OR 97202
Clinic/Center (Adult Mental Health)
3310 SE DIVISION ST
PORTLAND, OR 97202
Psychologist (Clinical)
3310 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
3310 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
3310 SE DIVISION ST
PORTLAND, OR 97202

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 Nicole Carroll's NPI number?

The NPI number for Nicole Carroll is 1407097066. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Nicole Carroll located?

Nicole Carroll practices at 3310 SE Division St, Portland, OR 97202. The listed phone number is (971) 235-0388.

What is Nicole Carroll'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 Nicole Carroll was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.