Individual provider · Type 1 NPI

Ambyr Rose Stores, MSW, LCSW, QMHP

Clinical Social Worker · Eugene, OR

NPI number 1730545211 Active

Practice location

1599 Oak St
Eugene, OR 97401-4008

Call (541) 255-1411 Map

Fax (541) 255-1412

Mailing address

1430 Willamette St # 140
Eugene, OR 97401-4049

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	A4910 (OR)
Clinical Social Worker Primary	1041C0700X	L10359 (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 1730545211

Ambyr Rose Stores, MSW, LCSW, QMHP's National Provider Identifier is 1730545211, issued on Jan 13, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Eugene, OR. The record was last updated on Jan 10, 2022.