Individual provider · Type 1 NPI
Jessie Kullberg, LCSW
Clinical Social Worker · North Bend, OR
Practice location
1944 Sherman Ave Ste 201
North Bend, OR 97459-3478
Mailing address
PO Box 1316
North Bend, OR 97459-0088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | L5271 (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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- David Francis Bertapelle, LCSWClinical Social Worker North Bend, OR NPI 1174697940
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About NPI 1396010286
Jessie Kullberg, LCSW's National Provider Identifier is 1396010286, issued on Mar 12, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Bend, OR. The record was last updated on Jul 26, 2013.