Individual provider · Type 1 NPI

Tanya Kaye Carrell

Clinical Social Worker · Redmond, OR

NPI number 1366085995 Active

Practice location

244 NW Kingwood Ave
Redmond, OR 97756-1688

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800X92619 (CA)
Social Worker 104100000X92619 (CA)
Clinical Social Worker Primary 1041C0700X119371 (CA)

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 1366085995

Tanya Kaye Carrell's National Provider Identifier is 1366085995, issued on Oct 27, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redmond, OR. The record was last updated on May 19, 2025.