Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Traci M Wendell, LICSW

Individual provider Clinical Social Worker · NPI 1376623421

Traci M Wendell, LICSW is a Clinical Social Worker in Corvallis, Oregon. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

530 NW 27th St
Corvallis, OR 97330-5223
Phone: (541) 766-6171
Fax: (541) 766-6186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 110504 (MA)

Record details

NPI number1376623421
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007

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