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

Individual provider Social Worker · NPI 1164719324

Julianna Bridget Lucisano, LCSW, CADCI is a Clinical Social Worker in Portland, Oregon. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2011
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

9555 SW Barnes Rd Ste 100
Portland, OR 97225-6663
Phone: (503) 292-3577
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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 L6007 (OR)
Social Worker Taxonomy 104100000X

Record details

NPI number1164719324
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADCI
Sole proprietorNo
NPI enumeratedJuly 7, 2011
Last updated in NPPESJuly 11, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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