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CHILD & ADOLESCENT RESOURCE CENTER LLC NPI 1730317033


NPI Information

NPI: 1730317033
Provider Name: CHILD & ADOLESCENT RESOURCE CENTER, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1736 NE HEMBREE ST
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-2233
Get Directions

CHILD & ADOLESCENT RESOURCE CENTER, LLC is a clinical social worker in Mcminnville, OR. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CHILD & ADOLESCENT RESOURCE CENTER, LLC NPI is 1730317033. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1736 NE HEMBREE ST
MCMINNVILLE, OR
ZIP 97128-314
Phone: (503) 472-2233
Fax: (503) 472-2299

The provider's authorized official is Denise B Fellows .
The authorized official title is Business Owner and has the following contact phone number (503) 472-2233.

The enumeration date for this NPI number is 6/24/2009 and was last updated on 6/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)08-12-12OREGONNo
21041C0700XSocial WorkerClinicalL4459OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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