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THERESA ANN DUDLEY LCSW CADC1 NPI 1861619264


NPI Information

NPI: 1861619264
Provider Name: THERESA ANN DUDLEY, LCSW, CADC1
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1904 ELM ST
SUITE 5
FOREST GROVE, OR
ZIP 97116
Phone: (503) 803-0601
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Theresa Ann Dudley, LCSW, CADC1 is a clinical social worker in Forest Grove, OR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Theresa Ann Dudley, LCSW, CADC1 NPI is 1861619264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1904 ELM ST
SUITE 5
FOREST GROVE, OR
ZIP 97116-553
Phone: (503) 803-0601

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalL3637OREGONYes
2101YA0400XCounselorAddiction (Substance Use Disorder)01-11-18OREGONX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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