Individual provider · Type 1 NPI

Jessica Dawn Eagan, MSW, MS

Clinical Social Worker · Portland, OR

NPI number 1457470197 Active

Practice location

3415 SE Powell Blvd
Portland, OR 97202-3371

Call (503) 490-3900 Map

Mailing address

6637 SE 78th Ave
Portland, OR 97206-7114

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4188 (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 1457470197

Jessica Dawn Eagan, MSW, MS's National Provider Identifier is 1457470197, issued on Mar 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 22, 2010.