Individual provider · Type 1 NPI

Jeffrey William Emrick, LCSW, CADC III

Clinical Social Worker · Bend, OR

NPI number 1093915324 Active

Practice location

2965 NE Conners Ave
Bend, OR 97701-7753

Call (542) 330-8896 Map

Fax (541) 330-8948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X02-R-05 (OR)
Clinical Social Worker Primary 1041C0700XL3798 (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 1093915324

Jeffrey William Emrick, LCSW, CADC III's National Provider Identifier is 1093915324, issued on Jul 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on Apr 9, 2012.