Individual provider · Type 1 NPI

Jasper Damien Williams, LMSW

Clinical Social Worker · Corvallis, OR

NPI number 1295237899 Active

Practice location

3509 NW Samaritan Dr Ste 215
Corvallis, OR 97330-3893

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 1133 N Main St, Pocatello, ID 83204-2717 · (208) 234-9361

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLMSW-37446 (ID)
Clinical Social Worker Primary 1041C0700XL12739 (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 1295237899

Jasper Damien Williams, LMSW's National Provider Identifier is 1295237899, issued on Feb 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corvallis, OR. The record was last updated on Nov 17, 2021.