Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC JOHN BLICKENSTAFF, L.C.S.W.
Active Sole ProprietorERIC JOHN BLICKENSTAFF, L.C.S.W. is a Clinical Social Worker healthcare provider located in CORVALLIS, Oregon. NPI 1366735227 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CORVALLIS, OR
Registration Details
- NPI Number
- 1366735227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2011 (15.205906520089 yrs)
- Last Updated
- May 25, 2011
- License
-
L4669 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
891 NW GRANT AVECORVALLIS, OR, 973304539Browse OR providers · Browse ZIP 97330
- Phone
- 5037086190
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN A. BACON | LCSW | 1992796486 |
| MS. MARILYN ROSE GARNER | LCSW | 1447233846 |
| DALE COX | MSW, LCSW | 1942272125 |
| MR. DENNIS A ABREU | LCSW | 1134180573 |
| CHARLES E RETHLEFSEN | LCSW | 1518921311 |
| MS. CYNTHIA M. ARON | LCSW | 1578502472 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.