MRS. NICOLE RENE J STAFFORD MSW, CSWA
NPI 1407607369
Social Worker - Clinical in Roseburg, OR

Active since March 28, 2024
2001 NW NEWCASTLE ST, ROSEBURG, OR 97471(541) 492-2087 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole Rene J Stafford Msw, Cswa NPPES

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

MRS. NICOLE RENE J STAFFORD MSW, CSWA (NPI 1407607369) is an individual clinical provider in Roseburg, Oregon, licensed in Oregon (A15038) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1407607369
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICOLE RENE J STAFFORDCredential: MSW, CSWA
Location Address2001 NW NEWCASTLE STRoseburg, OR 97471-1657
Mailing Address582 Glengary Loop RdRoseburg, OR 97470-8442 · (425) 870-2523
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1407607369 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 · A15038
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.
2001 NW NEWCASTLE ST, Roseburg, OR 97471

Other Names 1

Former Name (1)Miss Nicole Rene J Lacasse

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.

Counselor (Mental Health)
2001 NW NEWCASTLE ST
ROSEBURG, OR 97471
Community Health Worker
2001 NW NEWCASTLE ST
ROSEBURG, OR 97471
Counselor (Mental Health)
2001 NW NEWCASTLE ST
ROSEBURG, OR 97471
Clinic/Center (Federally Qualified Health Center (FQHC))
2001 NW NEWCASTLE ST
ROSEBURG, OR 97471
Counselor (Mental Health)
2001 NW NEWCASTLE ST
ROSEBURG, OR 97471

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 Nicole Stafford's NPI number?

The NPI number for Nicole Stafford is 1407607369. It was assigned to this individual provider in the NPPES registry on March 28, 2024. The provider is also known as Miss Nicole Rene J Lacasse.

Where is Nicole Stafford located?

Nicole Stafford practices at 2001 NW Newcastle St, Roseburg, OR 97471. The listed phone number is (541) 492-2087.

What is Nicole Stafford'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 Nicole Stafford was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.