Individual provider · Type 1 NPI

Charisma Jefferson

Clinical Social Worker · Cornelius, OR

NPI number 1003741430 Active

Practice location

1151 N Adair St
Cornelius, OR 97113-8900

Mailing address

18205 NW Bronson Rd Apt F6
Portland, OR 97229-3468

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003741430

Charisma Jefferson's National Provider Identifier is 1003741430, issued on Jun 16, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cornelius, OR. The record was last updated on Jun 16, 2026.