Individual
MRS. CARLA WIDELL GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3800 SPORTS WAY, SPRINGFIELD, OR 97477-2019
(541) 434-1527
(541) 434-1527
Mailing address
3800 SPORTS WAY, SPRINGFIELD, OR 97477-2019
(541) 434-1527
(541) 434-1527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L4528
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
698
—
OR
Enumeration date
10/20/2006
Last updated
01/30/2026
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