Individual provider · Type 1 NPI

Jessica Wagner, LICSW

Clinical Social Worker · Portland, OR

NPI number 1316347198 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Call (503) 220-8262 Map

Mailing address

PO Box 753
Troutdale, OR 97060-0753

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW6055853 (WA)
Social Worker 104100000XM5624 (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 1316347198

Jessica Wagner, LICSW's National Provider Identifier is 1316347198, issued on Aug 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2018.