Individual provider · Type 1 NPI

Sandra Kay Stellavato, LCSW, LADC

Clinical Social Worker · Eugene, OR

NPI number 1124342415 Active

Practice location

2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824

Mailing address

975 Polk St
Eugene, OR 97402-4537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X00520-L (NV)
Clinical Social Worker Primary 1041C0700XL4574 (OR)
Clinical Social Worker 1041C0700X2780-C (NV)

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 1124342415

Sandra Kay Stellavato, LCSW, LADC's National Provider Identifier is 1124342415, issued on Mar 16, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on May 17, 2010.