TABULA RASA WELLNESS LLC
NPI 1205300837
Social Worker - Clinical in Salem, OR

Q: What is Tabula Rasa Wellness LLC's NPI number?

The NPI number for Tabula Rasa Wellness LLC is 1205300837. It was assigned to this organization in the NPPES registry on January 16, 2019.

Q: What is Tabula Rasa Wellness LLC's specialty?

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

Active since January 16, 2019

2105 LIBERTY ST NE, SALEM, OR 97301(503) 967-3428(503) 967-3683 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2021, Jun 11, 2019, Jan 16, 2019 (3 updates tracked since 2019).

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About Tabula Rasa Wellness Llc NPPES

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

TABULA RASA WELLNESS LLC (NPI 1205300837) is a healthcare organization registered as a clinical in Salem, Oregon and active in the NPI registry since January 2019. The organization lists Lindsay Crowner, Owner/clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1205300837

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameTABULA RASA WELLNESS LLC

Location Address2105 LIBERTY ST NESalem, OR 97301-8353

Mailing Address3434 Liberty Rd S Apt 65Salem, OR 97302-6628 · (509) 430-7578 · Fax (503) 967-3683

Phone(503) 967-3428

Fax(503) 967-3683

Organization SubpartNo

Authorized OfficialLindsay CrownerOwner/clinical Social Worker · (509) 430-7578

Enumeration DateJanuary 16, 2019

Last NPPES UpdateJanuary 31, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2021

✔ NPI 1205300837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

2105 LIBERTY ST NE, Salem, OR 97301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

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