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

Susan H Dawdy, 1041C0700X

Individual provider Clinical Social Worker · NPI 1619017142

Susan H Dawdy, 1041C0700X is a Clinical Social Worker in Portland, Oregon. Qualified in 1999, 27 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Oregon.

Years since qualifying
27
Licensed in
MA, OR
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4241 SE 15th Ave
Portland, OR 97202-3927
Phone: (413) 281-5130
Fax: (413) 961-2574
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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 L7014 (OR)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 113862 (MA)

Record details

NPI number1619017142
Entity typeIndividual (Type 1)
GenderFemale
Credentials 1041C0700X
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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