Organization · Type 2 NPI

Jessica Rae Psychotherapy LLC

Clinical Social Worker · Bend, OR

NPI number 1417810946 Active

Practice location

1011 SW Emkay Dr Ste 101
Bend, OR 97702-3162

Call (541) 890-3061 Map

Mailing address

19903 Porcupine Dr
Bend, OR 97702-3986

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1417810946

Jessica Rae Psychotherapy LLC's National Provider Identifier is 1417810946, issued on Dec 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on Dec 3, 2025.