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

Individual provider Clinical Social Worker · NPI 1518784586

Shane Summers, LCSW is a Clinical Social Worker in Portland, Oregon. Works from 2 locations. Licensed in Oregon and Wisconsin.

Licensed in
OR, WI
In the registry since
2024
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

5441 S Macadam Ave Ste N
Portland, OR 97239-3822
Phone: (503) 949-2927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1433 N Water St Fl 4, Milwaukee, WI 53202-2557 — (646) 941-7645

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence A15593 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 13027123 (WI)

Record details

NPI number1518784586
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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