Individual provider · Type 1 NPI

Talia Jackson

Clinical Social Worker · Portland, OR

NPI number 1366859720 Active

Practice location

555 SE Mlk Blvd Unit 105
Portland, OR 97214-2595

Mailing address

6736 SE Gladstone St
Portland, OR 97206-3564

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X8314 (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 1366859720

Talia Jackson's National Provider Identifier is 1366859720, issued on Jul 17, 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 Nov 3, 2023.