Organization · Type 2 NPI

Rogue Holistic Therapy

Clinical Social Worker · Medford, OR

NPI number 1881285658 Active

Practice location

713 S Riverside Ave
Medford, OR 97501-7837

Fax (541) 227-2356

Mailing address

PO Box 631
Medford, OR 97501-0043

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1881285658

Rogue Holistic Therapy's National Provider Identifier is 1881285658, issued on Feb 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, OR. The record was last updated on Oct 9, 2025.