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

Individual provider Clinical Social Worker · NPI 1659890887

Stacy L Mandzij, LCSW is a Clinical Social Worker in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2017
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

1310 SW 17th Ave
Portland, OR 97201-2522
Phone: (503) 231-2641
Fax: (503) 467-4077
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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 L8570 (OR)

Record details

NPI number1659890887
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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