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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JUSTIN I. HERSOM, LCSW

Active

MR. JUSTIN I. HERSOM, LCSW is a Clinical Social Worker healthcare provider located in TILLAMOOK, Oregon. NPI 1871937078 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · TILLAMOOK, OR

Registration Details

NPI Number
1871937078
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2013 (13.299095515419 yrs)
Last Updated
Jul 12, 2022
Licenses
55202 (TX)
55202 (TX)
6051 (OR)

Practice Information

Address
17250 WILSON RIVER HWY
TILLAMOOK, OR, 971419145
Browse OR providers · Browse ZIP 97141
Phone
8323268552
Fax
5038425035
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in TILLAMOOK, OR

Name Credential NPI
MS. JAN L BARTLETT LCSW 1538154992
MS. CASSANDRA WOLFSON LCSW 1134166481
PAMELA J MABRY LCSW 1346379898
MS. FRANCES MARIE CUMBERLEDGE LCSW 1659556439
MR. STEVEN DOUG LARZELIER LCSW 1083852305
MS. TAMI RENNELS WADDELL LCSW 1710219530
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.