IndividualActive
Kelly Southern, MSW
NPI 1871638296 · Clinical Social Worker · Roseburg, OR
Kelly Southern, MSW is a Clinical Social Worker provider in Roseburg, OR (NPI 1871638296).
Provider details
- NPI number
- 1871638296
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- License
- 4143 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
612 Se Jackson St Ste 11
Roseburg, OR 97470-4956
Phone: (541) 464-6455
Fax: (541) 464-6457
Street-level locationGet directions
Mailing address
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2021-04-15
- Certified
- 2021-04-15
Frequently asked questions
- What is Kelly Southern's NPI number?
- Kelly Southern's National Provider Identifier (NPI) is 1871638296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Southern's specialty?
- Kelly Southern is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Southern located?
- Kelly Southern's practice location on file with NPPES is 612 Se Jackson St Ste 11, Roseburg, OR 97470-4956.
- What is Kelly Southern's phone number?
- The practice phone number listed in the NPPES registry for Kelly Southern is (541) 464-6455.
- Is Kelly Southern's NPI active?
- Yes — Kelly Southern's NPI (1871638296) is active in the NPPES registry as of the last update on 2021-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.