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

MS. Shelly Rene Falconer, LCSW

Individual provider Clinical Social Worker · NPI 1093848608

MS. Shelly Rene Falconer, LCSW is a Clinical Social Worker in Bend, Oregon. Licensed in California and Oregon. Registered with an NPI since 2007.

Licensed in
CA, OR
In the registry since
2007
Specialties on file
2
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

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone: (541) 322-7500
Fax: (541) 322-7566
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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 LCS 20187 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4749 (OR)

Record details

NPI number1093848608
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESFebruary 23, 2012

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