Individual provider · Type 1 NPI

Jeffrey Randall

Clinical Social Worker · Portland, OR

NPI number 1053782656 Active

Practice location

3500 NE Mlk Blvd Ste 200
Portland, OR 97212-2093

Call (503) 327-8205 Map

Mailing address

PO Box 82819
Portland, OR 97282-0819

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700XL7994 (OR)

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 1053782656

Jeffrey Randall's National Provider Identifier is 1053782656, issued on Oct 8, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Mar 12, 2019.