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Contact Information

MEREDITH A CONCEPCION, LCSW
2371 NE STEPHENS
SUITE 200
ROSEBURG, OR97470
 Phone: 541-672-8533
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MEREDITH A CONCEPCION · (Female)

NPI Number 1265833388
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/08/2014
Last updated 05/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 36490
  • OR License # L7566
  • OR Medicaid 500740754
  • OR Other 86-2721279 GROUP PRACTICE TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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