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

Mark Wallace Honeywell Summit, LCSW

Individual provider Clinical Social Worker · NPI 1245864552

Mark Wallace Honeywell Summit, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
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

637 N Farragut St
Portland, OR 97217-1473
Phone: (503) 715-6298
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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 2534 (OR)

Record details

NPI number1245864552
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 25, 2020
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020

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