Rebecca Ahnsdotter
Individual provider Active NPI Clinical Social Worker · Salem, OR
NPI 1962075168 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1962075168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1335 Cannon St SE
Salem, OR 97302-2589 - Phone
- (503) 805-9067
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Free, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
1335 Cannon St SE
Salem, OR 97302-2589
Mailing address
1335 Cannon St SE
Salem, OR 97302-2589
Phone (503) 805-9067
Other providers in Salem, OR
- Ilce A Aguirre-Wilkinson
- Christopher Aguirre
- Sergio Aguirre
- Erin Kay Ahlquist
- Parinaz Ansari Ahmadi
- Norman Nadir Aiad
- Joshua William Harrison Akana
- Shahab Akbari
- Helen Margareta Akerberg Evans
- Olayemi Cynthia Akindele
All providers in Salem, OR · Clinical Social Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.