Individual provider · Type 1 NPI

Jackie Siegel Trussell, LCSW

Clinical Social Worker · Portland, OR

NPI number 1497893739 Active

Practice location

14815 SE Division St
Portland, OR 97236-2336

Call (503) 761-7139 Map

Fax (503) 761-7917

Mailing address

2551 Robinwood Way
West Linn, OR 97068-1302

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL2749 (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 1497893739

Jackie Siegel Trussell, LCSW's National Provider Identifier is 1497893739, issued on Feb 1, 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 8, 2007.