Individual provider · Type 1 NPI

Tayler A. Bruder, CSWA, QMHP, CADC

Clinical Social Worker · Eugene, OR

NPI number 1003464736 Active

Practice location

341 E 12th Ave
Eugene, OR 97401-3275

Call (541) 683-1641 Map

Fax (541) 681-3294

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XA17888 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003464736

Tayler A. Bruder, CSWA, QMHP, CADC's National Provider Identifier is 1003464736, issued on Aug 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Apr 20, 2026.