Individual provider · Type 1 NPI

Tracy Ann Merriam, LCSW

Clinical Social Worker · Bandon, OR

NPI number 1104572288 Active

Practice location

110 10th St SE
Bandon, OR 97411-9157

Fax (541) 266-4578

Mailing address

1900 Woodland Dr
Coos Bay, OR 97420-2099

Other practice locations

  • 1900 Woodland Dr, Coos Bay, OR 97420-2099 · (541) 267-5151

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3420 (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 1104572288

Tracy Ann Merriam, LCSW's National Provider Identifier is 1104572288, issued on Feb 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bandon, OR. The record was last updated on Jun 12, 2024.