MEDICARE: MS. HILLAREY ANNE ROTHENBERGER LCSW

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	L16476	OR

General Provider Information

NPI Number	:	1447982715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HILLAREY ANNE ROTHENBERGER LCSW

Provider Business Mailing Address
First Line	:	2874 BASTILLE AVE SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97306-8816
Country	:	US
Telephone Number	:	541-936-5449
Fax Number	:

Provider Business Practice Location Address
First Line	:	2874 BASTILLE AVE SE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97306-8816
Country	:	US
Telephone Number	:	541-936-5449
Fax Number	:

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

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	04/16/2026

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