Individual provider · Type 1 NPI

Shakari Carson, LCSW

Clinical Social Worker · Redmond, OR

NPI number 1063148690 Active

Practice location

244 NW Kingwood Ave
Redmond, OR 97756-1688

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL16679 (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 1063148690

Shakari Carson, LCSW's National Provider Identifier is 1063148690, issued on Jul 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redmond, OR. The record was last updated on Jul 16, 2025.