Individual provider · Type 1 NPI

Misty M. Bonham, LCSW

Clinical Social Worker · Canby, OR

NPI number 1467010397 Active

Practice location

358 NW 1st Ave Ste 3
Canby, OR 97013-3533

Fax (971) 377-2995

Mailing address

PO Box 755
Canby, OR 97013-0755

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL11217 (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 1467010397

Misty M. Bonham, LCSW's National Provider Identifier is 1467010397, issued on Jun 5, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canby, OR. The record was last updated on Oct 16, 2023.