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

Individual provider Clinical Social Worker · NPI 1023368495

Phyllis Bradley Maynard, MSW, LCSW is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone: (503) 645-3581
Fax: (503) 629-8517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L419 (OR)

Record details

NPI number1023368495
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESSeptember 13, 2012

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