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

Mr. Louis Carl Wackerle, MSSW

Individual provider Clinical Social Worker · NPI 1174842512

Mr. Louis Carl Wackerle, MSSW is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010

Practice location Address checks out

4805 NE Glisan 3M16
Portland, OR 97225
Phone: (503) 295-1804
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0186 (OR)

Record details

NPI number1174842512
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSW
Sole proprietorNo
NPI enumeratedMay 25, 2010
Last updated in NPPESMay 25, 2010

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