Individual provider · Type 1 NPI
Shannon M. Bates, MSW, LCSW
Clinical Social Worker · Medford, OR
Practice location
Telehealth From Home, 1857 Brookhurst St
Medford, OR 97504
Mailing address
303 Twin Dolphin Drive, Suite 600-6002
Redwood City, CA 94065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | ASW70857 (CA) |
| Clinical Social Worker | 1041C0700X | 93649 (CA) |
| Clinical Social Worker Primary | 1041C0700X | L12986 (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 1275007601
Shannon M. Bates, MSW, LCSW's National Provider Identifier is 1275007601, issued on Jan 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on May 20, 2024.