NPI 1043038433

Mitchell John Chmelik, LCSW

Practitioner Clinical Social Worker Roseburg, OR

Practice location

Address: 913 NW Garden Valley Blvd, Roseburg, OR 97471-6523
Phone: (541) 440-1000
Mailing address: 120 Quincy Ave, Roseburg, OR 97471-4995

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence L6881 (OR)

Other Social Worker providers in Oregon →

Registry record

NPI: 1043038433
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2024
Record last updated: 2 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.