ERIC JOHN BLICKENSTAFF (NPI# 1366735227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366735227 |
| Entity Type | Individual |
| Full Name | ERIC JOHN BLICKENSTAFF |
| Credential | L.C.S.W. |
| Practice Address |
891 Nw Grant Ave Corvallis OR 97330-4539 |
| Mailing Address |
4067 Davidson St Se Albany OR 97322-6325 |
| Practice Telephone | 5037086190 |
| Mailing Telephone | 5037086190 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L4669 | OR | Behavioral Health & Social Service Providers |
| Street Address |
891 NW GRANT AVE |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861437758 | Carol Ann Jauquet | Psychologist | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2006-06-17 |
| 1235645482 | Michelle Hayes Lcsw, LLC | Counselor | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2017-12-26 |
| 1154528990 | Alan Brett Ross | Social Worker | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2007-06-27 |
| 1164635314 | Gary L Barnes | Social Worker | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2007-05-07 |
| 1306058532 | Barbara Cohen Grant | Social Worker | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2007-05-03 |
| 1770704967 | Sherri Lee Ross | Social Worker | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2007-05-02 |
| 1003977737 | Marilyn Olena Syverson | Counselor | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780211359 | Lina Soares | Social Worker | 1923 Sw Brooklane Dr, Corvallis, OR 97333-1627 | 2020-03-24 |
| 1053950147 | John Corbett Caster | Social Worker | 408 Sw Monroe Ave Ste M250, Corvallis, OR 97333-7210 | 2020-01-06 |
| 1851854780 | Christina Polizzo | Social Worker | 277 Ne Conifer Blvd Unit 46, Corvallis, OR 97330-4141 | 2019-04-08 |
| 1982199683 | Westwind Counseling LLC | Social Worker | 2396 Nw Kings Blvd Ste 201, Corvallis, OR 97330-3984 | 2018-06-25 |
| 1619410487 | Kathryn Elizabeth Manning | Social Worker | 950 Se Marion Ave, Corvallis, OR 97333-2040 | 2016-11-29 |
| 1508216573 | Act Beyond Pain, LLC | Social Worker | 4655 Nw Queens Ave, Corvallis, OR 97330-3234 | 2016-06-20 |
| 1376974873 | Rose Sweetwater | Social Worker | 815 Nw 9th St #110, Corvallis, OR 97330 | 2013-12-09 |
| 1295176055 | Adrienne Tauses | Social Worker | 3640 Nw Samaritan Dr Ste 161, Corvallis, OR 97330-3738 | 2013-07-09 |
| 1124387592 | Anne Hovland | Social Worker | 4185 Sw Research Way, Corvallis, OR 97333-1783 | 2012-05-04 |
| 1821357286 | Mary Jean Bolton | Social Worker | 815 Nw 9th St Ste 202, Corvallis, OR 97330-6173 | 2012-05-04 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.