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

Myra Bazell, LCSW

Individual provider Clinical Social Worker · NPI 1659627024

Myra Bazell, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and Oregon.

Licensed in
GA, OR
In the registry since
2012
Specialties on file
2
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

820 NW 12th Ave Apt 606
Portland, OR 97209-3052
Phone: (215) 917-3367
Show map & directions

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

Additional practice locations (1)

  • 877 Penn Ave Ne, Atlanta, GA 30309-4228 — (215) 917-3367

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L8297 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW005321 (GA)

Record details

NPI number1659627024
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESMay 2, 2020
Certification dateMay 2, 2020

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