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

Carla Y Canseco-Maca

Individual provider Clinical Social Worker · NPI 1770255929

Carla Y Canseco-Maca is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

209 SW 4th Ave Ste 520
Portland, OR 97204-1825
Phone: (971) 806-7062
Fax: (503) 988-4386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770255929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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