Individual provider · Type 1 NPI

Haeryun Kim Tatum, LCSW

Clinical Social Worker · Roseburg, OR

NPI number 1497863138 Active

Practice location

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523

Mailing address

362 N River Dr
Roseburg, OR 97470-8008

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL003600 (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 1497863138

Haeryun Kim Tatum, LCSW's National Provider Identifier is 1497863138, issued on Aug 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Jul 8, 2007.