Individual provider · Type 1 NPI

Tanya Rose Fountain

Clinical Social Worker · Salem, OR

NPI number 1235338559 Active

Practice location

780 Commercial St SE Ste 201
Salem, OR 97301-3463

Fax (503) 300-2848

Other practice locations

  • 821 Saginaw St S, Salem, OR 97302-4121 · (503) 315-8646

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL11657 (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 1235338559

Tanya Rose Fountain's National Provider Identifier is 1235338559, issued on Jul 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, OR. The record was last updated on Jan 26, 2024.