Individual provider · Type 1 NPI

Eric John Blickenstaff, L.C.S.W.

Clinical Social Worker · Corvallis, OR

NPI number 1366735227 Active

Practice location

891 NW Grant Ave
Corvallis, OR 97330-4539

Mailing address

4067 Davidson St SE
Albany, OR 97322-6325

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4669 (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 1366735227

Eric John Blickenstaff, L.C.S.W.'s National Provider Identifier is 1366735227, issued on May 25, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corvallis, OR. The record was last updated on May 25, 2011.