# LINA SOARES, LCSW, LLC

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

## Provider details

- **NPI number:** 1841813946
- **Authorized official:** MRS. LINA H SOARES MSW, LCSW (OWNER)
- **Authorized official phone:** (541) 230-8497

## Contact information

- **Practice address:** 636 SW 2ND ST, CORVALLIS, OR 97333-4442
- **Practice address phone:** (541) 230-8497
- **Practice address fax:** (541) 600-3330
- **Mailing address:** 1923 SW BROOKLANE DR, CORVALLIS, OR 97333-1627
- **Mailing address phone:** (541) 230-8497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2020
- **Last updated:** 05/06/2021