Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Allyssa Marie Stacks, LCSW

Individual provider Mental Health Counselor · NPI 1134779739

Allyssa Marie Stacks, LCSW is a Mental Health Counselor in Tigard, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7100 SW Hampton St Ste 223
Tigard, OR 97223-8364
Phone: (503) 342-2510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1134779739
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 16, 2019
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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