Individual provider · Type 1 NPI

Katie Jayne Benton Kenney, MSW

Clinical Social Worker · Roseburg, OR

NPI number 1548534894 Active

Practice location

2726 NE Diamond Lake Blvd
Roseburg, OR 97470-3649

Call (541) 236-2236 Map

Fax (866) 499-5715

Mailing address

PO Box 1273
Roseburg, OR 97470-0308

Other practice locations

1652 NW Hughwood Ct, Roseburg, OR 97471-8844 · (541) 673-3985
621 W Madrone, Roseburg, OR 97470-3030 · (541) 440-3532

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	A5202 (OR)
Case Manager/Care Coordinator	171M00000X	None listed
Clinical Social Worker Primary	1041C0700X	L10568 (OR)
Counselor	101Y00000X	None listed

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 1548534894

Katie Jayne Benton Kenney, MSW's National Provider Identifier is 1548534894, issued on Mar 5, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Feb 1, 2024.