Individual provider · Type 1 NPI

Dominique Lea Corellas

Clinical Social Worker · Corvallis, OR

NPI number 1942823760 Active

Practice location

2396 NW Kings Blvd Ste 201
Corvallis, OR 97330-3984

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Clinical Social Worker Primary	1041C0700X	None 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 1942823760

Dominique Lea Corellas's National Provider Identifier is 1942823760, issued on May 27, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corvallis, OR. The record was last updated on May 31, 2022.