Provider Demographics
NPI:1902865710
Name:HUGHES, CAROLYN SMITH (LCSW)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:SMITH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18894 BRYANT RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-7220
Mailing Address - Country:US
Mailing Address - Phone:559-970-7600
Mailing Address - Fax:
Practice Address - Street 1:18894 BRYANT RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-7220
Practice Address - Country:US
Practice Address - Phone:559-970-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099241901041C0700X, 1041C0700X
ORL125581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical