Individual provider · Type 1 NPI

Jennie Teresa Maceachern

Clinical Social Worker · Roseburg, OR

NPI number 1104425305 Active

Practice location

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Fax (541) 440-1000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11729 (OR)
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed

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 1104425305

Jennie Teresa Maceachern's National Provider Identifier is 1104425305, issued on Oct 20, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Apr 25, 2024.