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

Individual provider Clinical Social Worker · NPI 1295055085

Shelise Ebony Hakin, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2010
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

3550 SE Woodward St
Portland, OR 97202-1552
Phone: (503) 517-8663
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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 L4135 (OR)
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1295055085
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010

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