Individual provider · Type 1 NPI

Robin Lynn Tiedeman, M.S.W.

Clinical Social Worker · Eugene, OR

NPI number 1629109004 Active

Practice location

1790 W 11th Ave Ste 290
Eugene, OR 97402-3759

Fax (541) 686-0359

Mailing address

34863 Seavey Loop Rd
Eugene, OR 97405-9620

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1629109004

Robin Lynn Tiedeman, M.S.W.'s National Provider Identifier is 1629109004, issued on Mar 8, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.