Individual provider · Type 1 NPI
Jessica Ann Summerville
Clinical Social Worker · Vancouver, WA
Practice location
1498 SE Tech Center Pl Ste 300
Vancouver, WA 98683-5509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61164216 (WA) |
| Clinical Social Worker Primary | 1041C0700X | LW61396047 (WA) |
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 1770063646
Jessica Ann Summerville's National Provider Identifier is 1770063646, issued on Aug 20, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vancouver, WA. The record was last updated on Jan 23, 2025.