Individual provider · Type 1 NPI

Toni K. Jacobson

Clinical Social Worker · Portland, OR

NPI number 1669873121 Active

Practice location

537 SE Alder St
Portland, OR 97214-2231

Mailing address

3910 SE Stark St
Portland, OR 97214-3241

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XA3466 (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 1669873121

Toni K. Jacobson's National Provider Identifier is 1669873121, issued on Sep 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Sep 15, 2014.