Individual provider · Type 1 NPI

Tyler Dean Grissom, LCSW

Clinical Social Worker · Eugene, OR

NPI number 1700168804 Active

Practice location

1200 Hilyard St Ste 310
Eugene, OR 97401-8122

Call (458) 205-6709 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XL7128 (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 1700168804

Tyler Dean Grissom, LCSW's National Provider Identifier is 1700168804, issued on Sep 14, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Mar 5, 2024.