Individual provider · Type 1 NPI

Debra Pruyn, LCSW, QMHP

Clinical Social Worker · Grants Pass, OR

NPI number 1710032081 Active

Practice location

1644 Carnahan Dr
Grants Pass, OR 97527-4724

Call (541) 476-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X052056-1 (NY)
Clinical Social Worker Primary 1041C0700XL8013 (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 1710032081

Debra Pruyn, LCSW, QMHP's National Provider Identifier is 1710032081, issued on Jan 24, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grants Pass, OR. The record was last updated on May 1, 2019.