# BRETT STITHEM, LCSW

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255859583
- **Authorized official:** MR. BRETT R STITHEM LCSW (CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (773) 575-8152

## Contact information

- **Practice address:** 1829 NE ALBERTA ST STE 7, PORTLAND, OR 97211-5881
- **Practice address phone:** (773) 575-8152
- **Mailing address:** 5623 NE 11TH AVE UNIT B, PORTLAND, OR 97211-4274
- **Mailing address phone:** (773) 575-8152
- **Mailing address fax:** (833) 288-5249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 10/24/2024