Individual provider · Type 1 NPI

Victor Boomer-Jenks, LCSW; LICSW;

Clinical Social Worker · Portland, OR

NPI number 1760891014 Active

Practice location

10373 NE Hancock St
Portland, OR 97220-3873

Call (503) 253-6754 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XL5320 (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 1760891014

Victor Boomer-Jenks, LCSW; LICSW;'s National Provider Identifier is 1760891014, issued on Aug 11, 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 Nov 11, 2024.