Individual provider · Type 1 NPI

Kelly Anne Southern, MSW

Clinical Social Worker · Roseburg, OR

NPI number 1871638296 Active

Practice location

612 SE Jackson St Ste 11
Roseburg, OR 97470-4956

Call (541) 464-6455 Map

Fax (541) 464-6457

Mailing address

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4143 (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 1871638296

Kelly Anne Southern, MSW's National Provider Identifier is 1871638296, issued on Feb 21, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roseburg, OR. The record was last updated on Apr 15, 2021.