Individual provider · Type 1 NPI

Susan De Tarr, M.S.W., CADC 1

Clinical Social Worker · Albany, OR

NPI number 1104006725 Active

Practice location

2225 Pacific Blvd SE Ste 101
Albany, OR 97321-7903

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL5953 (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 1104006725

Susan De Tarr, M.S.W., CADC 1's National Provider Identifier is 1104006725, issued on Nov 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, OR. The record was last updated on Aug 16, 2023.