POLK COUNTY MENTAL HEALTH NPI 1861933863

NPI Information

  • NPI: 1861933863
  • Provider Name: POLK COUNTY MENTAL HEALTH
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • CLIA Number: 38D1045955
  • Address: 182 SW ACADEMY ST
    DALLAS, OR
    ZIP 97338
  • Phone: (503) 623-9289

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NPI Details

POLK COUNTY MENTAL HEALTH is a social worker in Dallas, OR. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. POLK COUNTY MENTAL HEALTH NPI is 1861933863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

182 SW ACADEMY ST
DALLAS, OR
ZIP 97338-996
Phone: (503) 623-9289

The provider's authorized official is Melanie Myers .
The authorized official title is Behavioral Health Supervisor I and has the following contact phone number (503) 400-3550.

The CLIA number assigned to this NPI record is 38D1045955 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.

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
1104100000XSocial WorkerYes

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: 11/21/2025

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