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

Theodore Everett, LCSW

Individual provider Clinical Social Worker · NPI 1508101445

Theodore Everett, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2012
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2440 NE 11th Ave
Portland, OR 97212-4127
Phone: (503) 572-1349
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L6777 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 84551 (CA)

Record details

NPI number1508101445
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 4, 2012
Last updated in NPPESOctober 20, 2021
Certification dateOctober 19, 2021

Other providers in Portland