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

Mr. Sean Robert Derrickson III, MSW

Individual provider Clinical Social Worker · NPI 1295170421

Mr. Sean Robert Derrickson III, MSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

4610 SE Belmont St Ste 10
Portland, OR 97215-1752
Phone: (503) 988-4450
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 3242 (OR)

Record details

NPI number1295170421
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorYes
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013
Mailing address4610 Se Belmont St, Suite 10, Portland, OR 97215-1752

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