MEDICARE: MRS. DARLENE CORRAL LCSW, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW60814075	WA
2	1041C0700X	Clinical Social Worker	L6503	OR

General Provider Information

NPI Number	:	1285567834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARLENE CORRAL LCSW, LICSW

Provider Business Mailing Address
First Line	:	1000 N PROVIDENCE DR STE 310
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-7582
Country	:	US
Telephone Number	:	503-537-6040
Fax Number	:	503-537-6045

Provider Business Practice Location Address
First Line	:	1000 N PROVIDENCE DR STE 310
Second Line	:
City	:	NEWBERG
State	:	OR
Zip	:	97132-7582
Country	:	US
Telephone Number	:	503-537-6040
Fax Number	:	503-537-6045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ MRS. DARLENE CORRAL LCSW, LICSW” Practice Location

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