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STACY JO BRUBAKER CSW
NPI 1619047230
Social Worker in Medford, OR

Active since November 09, 2006
140 SOUTH HOLLY STREET, MEDFORD, OR 97501(541) 774-8200(541) 774-7964 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy Jo Brubaker Csw NPPES

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

STACY JO BRUBAKER CSW (NPI 1619047230) is an individual social worker in Medford, Oregon, licensed in Utah (1350033502) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619047230
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSTACY JO BRUBAKERCredential: CSW
Location Address140 SOUTH HOLLY STREETMedford, OR 97501
Mailing Address140 South Holly StreetMedford, OR 97501 · (541) 774-8200 · Fax (541) 774-7964
Phone(541) 774-8200
Fax(541) 774-7964
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateDecember 22, 2014
✔ NPI 1619047230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in UT · 1350033502
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
140 SOUTH HOLLY STREET, Medford, OR 97501
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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.

PAULA M WEBB
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
LINDA YOUNG MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
MARI CARMEN GALEANA MA QMHP
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
MARCO ROBERT MARTIN
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
TRAVIS SCOTT BURCH
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 500-8655
KATRINA LYNN HARPER
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200
CAITLIN LAWSON
Case Manager/Care Coordinator
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 771-8200
JILL NICOLE JETER
Counselor (Mental Health)
140 SOUTH HOLLY STREET
MEDFORD, OR 97501
Jackson County (541) 774-8200

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 Stacy Brubaker's NPI number?

The NPI number for Stacy Brubaker is 1619047230. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Stacy Brubaker located?

Stacy Brubaker practices at 140 South Holly Street, Medford, OR 97501. The listed phone number is (541) 774-8200.

What is Stacy Brubaker's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Stacy Brubaker was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.