Individual provider · Type 1 NPI

Shelly Myume Emi Fickes, LCSW

Clinical Social Worker · Medford, OR

NPI number 1194315069 Active

Practice location

724 S Central Ave
Medford, OR 97501-7851

Fax (541) 325-4055

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL10457 (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 1194315069

Shelly Myume Emi Fickes, LCSW's National Provider Identifier is 1194315069, issued on Jan 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jan 24, 2021.