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

George Ivar Hannibal, LCSW, CADCI

Individual provider Clinical Social Worker · NPI 1003866708

George Ivar Hannibal, LCSW, CADCI is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1419 NE 69th Ave
Portland, OR 97213-5301
Phone: (503) 254-1545
Fax: (503) 525-2846
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 01-11-26 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence L0525 (OR)

Record details

NPI number1003866708
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CADCI
Sole proprietorYes
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 11, 2025

Other providers in Portland