Individual provider · Type 1 NPI

Mitchell John Chmelik, LCSW

Clinical Social Worker · Roseburg, OR

NPI number 1043038433 Active

Practice location

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Mailing address

120 Quincy Ave
Roseburg, OR 97471-4995

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL6881 (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 1043038433

Mitchell John Chmelik, LCSW's National Provider Identifier is 1043038433, issued on Oct 2, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Oct 2, 2024.