Traci M Wendell, LICSW
Traci M Wendell, LICSW is a Clinical Social Worker in Corvallis, Oregon. Licensed in Massachusetts. Registered with an NPI since 2006.
- Licensed in
- MA
- In the registry since
- 2006
What do these letters mean?
- LICSW — Licensed Independent Clinical Social Worker
- The title some states use for an independently practising clinical social worker.
Practice location Address checks out
530 NW 27th StCorvallis, OR 97330-5223
Phone: (541) 766-6171
Fax: (541) 766-6186
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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 110504 (MA) |
|---|
Record details
| NPI number | 1376623421 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LICSW |
| Sole proprietor | No |
| NPI enumerated | October 16, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 530 Nw 27th St, P.O. Box 579, Corvallis, OR 97330-5223 |
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