IndividualActive
Susan De Tarr, M.S.W., CADC 1
NPI 1104006725 · Clinical Social Worker · Albany, OR
Provider details
- NPI number
- 1104006725
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- M.S.W., CADC 1
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2225 Pacific Blvd Se Ste 101
Albany, OR 97321-7903
Phone: (503) 655-8264
Street-level locationGet directions
Mailing address
2225 Pacific Blvd Se Ste 101
Albany, OR 97321-7903
Registry dates
- Enumerated
- 2007-11-12
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.