Individual provider · Type 1 NPI

Desiree Ann Colonica, LCSW

Clinical Social Worker · Albany, OR

NPI number 1790069672 Active

Practice location

2730 Pacific Blvd SE
Albany, OR 97321-5075

Call (541) 967-3866 Map

Mailing address

PO Box 100
Albany, OR 97321-0031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL7404 (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 1790069672

Desiree Ann Colonica, LCSW's National Provider Identifier is 1790069672, issued on Oct 10, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, OR. The record was last updated on Nov 17, 2017.