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

Mr. Dakota Micheal Lake, LCSW

Individual provider Mental Health Counselor · NPI 1407628845

Mr. Dakota Micheal Lake, LCSW is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
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 →

Practice location Address checks out

5441 S Macadam Ave
Portland, OR 97239-6106
Phone: (971) 415-5755
Fax: (971) 415-5855
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence L11777 (OR)

Record details

NPI number1407628845
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 30, 2023
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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