NPI 1043939887 · live from the CMS NPI Registry
An Inner Guide LLC
Social Worker, Clinical in Salem, OR. National Provider Identifier 1043939887, active.
NPI record
| NPI | 1043939887 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 161 High St Se Ste 204, Salem, OR 97301 |
| Practice phone | 503-749-0306 |
| Enumerated | August 24, 2022 |
| Last updated | October 13, 2022 |
| Authorized official | Ka Rin Johnson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.