Individual provider · Type 1 NPI

Andrea E. Mittleider, LCSW

Clinical Social Worker · Eugene, OR

NPI number 1063576155 Active

Practice location

1200 Hilyard St Ste 230
Eugene, OR 97401-8122

Call (458) 205-6011 Map

Fax (458) 205-6071

Mailing address

1115 SE 164th Ave Dept 358
Vancouver, WA 98683-8004

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4955 (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 1063576155

Andrea E. Mittleider, LCSW's National Provider Identifier is 1063576155, issued on Dec 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Nov 12, 2018.