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

Individual provider Social Worker · NPI 1265833388

Meredith Ann Concepcion, LCSW is a Clinical Social Worker in Roseburg, Oregon. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California and Oregon.

Years since qualifying
13
Licensed in
CA, OR
In the registry since
2014
Specialties on file
3
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

1299 NW Ellan St Ste 2
Roseburg, OR 97470-2031
Phone: (458) 802-3883
Fax: (541) 900-1840
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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 L7566 (OR)
Social Worker Taxonomy 104100000X · Licence L7566 (OR)
Social Worker Taxonomy 104100000X · Licence 36490 (CA)

Record details

NPI number1265833388
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 8, 2014
Last updated in NPPESMay 13, 2023
Certification dateMay 13, 2023
Mailing address1299 Nw Ellan St Ste 2, Roseburg, OR 97470-2031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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