Provider Demographics
NPI:1396311619
Name:DAVID SINGER LCSW
Entity type:Organization
Organization Name:DAVID SINGER LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-893-8995
Mailing Address - Street 1:13102 SE 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-9357
Mailing Address - Country:US
Mailing Address - Phone:503-893-8995
Mailing Address - Fax:503-354-1778
Practice Address - Street 1:4410 SE WOODSTOCK BLVD STE 230
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-6206
Practice Address - Country:US
Practice Address - Phone:503-893-8995
Practice Address - Fax:503-354-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty