Individual provider · Type 1 NPI

Jaeren Anthony Davis, LICSW, QMHP-C

Clinical Social Worker · Vancouver, WA

NPI number 1386047884 Active

Practice location

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200

Call (360) 256-2000 Map

Fax (360) 514-2548

Mailing address

3601 V St
Vancouver, WA 98663-2622

Other practice locations

  • 33 NW Broadway, Portland, OR 97209-3580 · (503) 228-7134

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XTHW00071 (OR)
Clinical Social Worker Primary 1041C0700XLW61031767 (WA)

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 1386047884

Jaeren Anthony Davis, LICSW, QMHP-C's National Provider Identifier is 1386047884, issued on Sep 29, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Jan 17, 2024.