Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric John Blickenstaff, LCSW

Individual provider Clinical Social Worker · NPI 1366735227

Eric John Blickenstaff, LCSW is a Clinical Social Worker in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

891 NW Grant Ave
Corvallis, OR 97330-4539
Phone: (503) 708-6190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L4669 (OR)

Record details

NPI number1366735227
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESMay 25, 2011
Mailing address4067 Davidson St Se, Albany, OR 97322-6325

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