Individual provider · Type 1 NPI

Tracy Renee Adevai, LCSW

Clinical Social Worker · Roseburg, OR

NPI number 1740698471 Active

Practice location

285 SE Fowler St
Roseburg, OR 97470-3337

Fax (541) 230-2575

Mailing address

PO Box 375
Glide, OR 97443-0375

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL10899 (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 1740698471

Tracy Renee Adevai, LCSW's National Provider Identifier is 1740698471, issued on Jul 25, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Mar 2, 2024.