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

Kelly Anne Southern, MSW

Individual provider Clinical Social Worker · NPI 1871638296

Kelly Anne Southern, MSW is a Clinical Social Worker in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

612 SE Jackson St Ste 11
Roseburg, OR 97470-4956
Phone: (541) 464-6455
Fax: (541) 464-6457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4143 (OR)

Record details

NPI number1871638296
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESApril 15, 2021
Certification dateApril 15, 2021

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