# KATIE JANE ROEDA, MSW, LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124419585
- **Authorized official:** KATIE ROEDA MSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (503) 440-1548

## Contact information

- **Practice address:** 155 LIBERTY ST NE, SUITE 380, SALEM, OR 97301-3505
- **Practice address phone:** (503) 440-1548
- **Practice address fax:** (503) 967-7605
- **Mailing address:** 155 LIBERTY ST NE, SUITE 380, SALEM, OR 97301-3505
- **Mailing address phone:** (503) 440-1548
- **Mailing address fax:** (503) 967-7605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L6101 | OR | Yes |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 02/13/2015