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

MS. Mary E. Iannuccillo, MSW

Individual provider Clinical Social Worker · NPI 1023231982

MS. Mary E. Iannuccillo, MSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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

2250 NW Flanders St Ste 103
Portland, OR 97210-3443
Phone: (503) 796-9242
Fax: (503) 657-8310
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 0759 (OR)

Record details

NPI number1023231982
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedApril 10, 2007
Last updated in NPPESJuly 8, 2007

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