TRACY DEKELBOUM LCSW
NPI 1043736317
Social Worker - Clinical in White City, OR

Active since August 18, 2017
8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 830-7423 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

About Tracy Dekelboum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY DEKELBOUM LCSW (NPI 1043736317) is an individual clinical provider in White City, Oregon, licensed in Oregon (L6873) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1043736317
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY DEKELBOUMCredential: LCSW
Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011
Mailing Address8495 Crater Lake HwyWhite City, OR 97503-3011 · (541) 830-7423
Sole ProprietorYes
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1043736317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L6873
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.

8495 CRATER LAKE HWY, White City, OR 97503

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Registered Nurse (Psychiatric/Mental Health, Adult)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
General Acute Care Hospital
8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Nurse Practitioner (Adult Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Counselor (Mental Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Dekelboum's NPI number?

The NPI number for Tracy Dekelboum is 1043736317. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Tracy Dekelboum located?

Tracy Dekelboum practices at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 830-7423.

What is Tracy Dekelboum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tracy Dekelboum was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.