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

Mrs. Nicole Rene J Stafford, MSW, CSWA

Individual provider Clinical Social Worker · NPI 1407607369

Mrs. Nicole Rene J Stafford, MSW, CSWA is a Clinical Social Worker in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2001 NW Newcastle St
Roseburg, OR 97471-1657
Phone: (541) 492-2087
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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 A15038 (OR)

Record details

NPI number1407607369
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , CSWA
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

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