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

Shawna Nicole Rose, LCSW

Individual provider Mental Health Counselor · NPI 1164824090

Shawna Nicole Rose, LCSW is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014
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

1832 NE Broadway St
Portland, OR 97232-1992
Phone: (503) 754-4502
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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
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1164824090
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2014
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

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