Individual provider · Type 1 NPI

Christia Bactista

Clinical Social Worker · Medford, OR

NPI number 1588073837 Active

Practice location

328 S Central Ave Ste 211
Medford, OR 97501

Mailing address

PO Box 582
Medford, OR 97501-0039

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA4792 (OR)
Case Manager/Care Coordinator 171M00000XNone 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 1588073837

Christia Bactista's National Provider Identifier is 1588073837, issued on Aug 11, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Jun 25, 2018.