Individual provider · Type 1 NPI

Ellen H. Weiland, L.C.S.W.

Clinical Social Worker · Medford, OR

NPI number 1922005693 Active · reactivated Mar 29, 2006

Practice location

132 W Main St
Medford, OR 97501-2746

Mailing address

PO Box 851
Phoenix, OR 97535-0851

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL2150 (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 1922005693

Ellen H. Weiland, L.C.S.W.'s National Provider Identifier is 1922005693, issued on Jul 7, 2005. 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 21, 2009.