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

Carly Jun Spaulding, BSW

Individual provider Clinical Social Worker · NPI 1861018905

Carly Jun Spaulding, BSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2020
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Practice location Address checks out

6011 NE Oregon St
Portland, OR 97213-4300
Phone: (971) 319-4827
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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 (OR)

Record details

NPI number1861018905
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorYes
NPI enumeratedJune 24, 2020
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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