Individual provider · Type 1 NPI

Nicole Rene J. Stafford, MSW, CSWA

Clinical Social Worker · Roseburg, OR

NPI number 1407607369 Active

Practice location

2001 NW Newcastle St
Roseburg, OR 97471-1657

Call (541) 492-2087 Map

Mailing address

582 Glengary Loop Rd
Roseburg, OR 97470-8442

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA15038 (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 1407607369

Nicole Rene J. Stafford, MSW, CSWA's National Provider Identifier is 1407607369, issued on Mar 28, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Mar 28, 2024.