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

Ann Marie Moylan, LCSW

Individual provider Mental Health Counselor · NPI 1164099081

Ann Marie Moylan, LCSW is a Mental Health Counselor in Portland, Oregon. Licensed in Nebraska and Oregon. Registered with an NPI since 2021.

Licensed in
NE, OR
In the registry since
2021
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

1717 NE 42nd Ave Ste 3100
Portland, OR 97213-1572
Phone: (503) 567-5103
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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 · Licence 15431 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6126 (NE)

Record details

NPI number1164099081
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025

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