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Costa Clinical Psychology, Llc
Clinical Social Worker in Brookings, Oregon
NPI 1881144178

Costa Clinical Psychology, Llc is a Clinical Social Worker based in Brookings, OR and is specialized in Clinical. Costa Clinical Psychology, Llc practices in Brookings, OR. The NPI Number for Costa Clinical Psychology, Llc is 1881144178 and holds a License No. 2356 (Oregon).

The current practice location address for Costa Clinical Psychology, Llc is 625 Spruce St., Brookings, OR and can be reached out via phone at 541-412-0700 and via fax at 541-412-0711.

Location: 625 Spruce St., Brookings, OR, 97415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881144178
Provider Name
Costa Clinical Psychology, Llc
Credential
Provider Entity Type
Organization
Address
625 Spruce St., Brookings, OR, 97415
Phone Number
541-412-0700
Fax Number
541-412-0711
Provider Enumeration Date
10/11/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500659667 05 OR
R16961 01 OR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
625 Spruce St.
City
Brookings
State
Oregon
Zip
97415
Phone Number
541-412-0700
Fax Number
541-412-0711
person
Provider Business Mailing Address Details
Address
625 Spruce St.
City
Brookings
State
Oregon
Zip
97415
Phone Number
541-412-0700
Fax Number
541-412-0711
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
L6298 (Oregon)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
2356 (Oregon)
Definition
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.
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