National Provider Identifier Database

TINA WIBSTAD, LCSW, LSSW, CADC III – NPI #1518275130
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.


Contact Information

TINA WIBSTAD, LCSW, LSSW, CADC III
906 MAIN AVE
TILLAMOOK, OR97141-3816
Phone: 503-842-8201
Fax: 503-815-1870
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X
Addiction (Substance Use Disorder) 101YA0400X
School 1041S0200X

* Indicates primary specialty

NPI Profile & details for TINA WIBSTAD

NPI Number 1518275130
Credentials LCSW, LSSW, CADC III
Entity Individual
Enumeration date 09/16/2010
Last updated 04/04/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 10517192
  • OR License #: 12-06-70
  • OR License #: L5975
Hospital affiliation n/a

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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