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

Marissa Minato, LCSW

Individual provider Clinical Social Worker · NPI 1457893554

Marissa Minato, LCSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2016
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

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (035) 234-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2800 N Vancouver Ave Ste 130, Portland, OR 97227-1663 — (503) 276-6110

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11362 (OR)

Record details

NPI number1457893554
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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