Individual provider · Type 1 NPI
Jacob Wicks
Clinical Social Worker · Portland, OR
Practice location
2800 N Vancouver Ave Ste 165
Portland, OR 97227-1644
Fax (503) 413-5220
Mailing address
PO Box 4399
Portland, OR 97208-4399
Other practice locations
- 11035 NE Sandy Blvd, Portland, OR 97220-2553 · (503) 258-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 0858761 (NY) |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | L8045 (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…
4 other providers at this address
Other clinical social worker providers in Portland
- Claudette Hastie Beahrs, LCSWClinical Social Worker Portland, OR NPI 1003052333
- Sonya Carmen Strickland, LCSWClinical Social Worker Portland, OR NPI 1003070228
- Del R. Thornton, LCSWClinical Social Worker Portland, OR NPI 1003090259
- Yvette Denine Arey, MSWClinical Social Worker Portland, OR NPI 1003095100
- Greg Newman, L.C.S.WClinical Social Worker Portland, OR NPI 1003118761
- Paul Patrick Lee, LCSWClinical Social Worker Portland, OR NPI 1003126772
- Nalini Kuruppu, MSW, LCSWClinical Social Worker Portland, OR NPI 1003180373
- Jeni Lynne Shilman, LCSWClinical Social Worker Portland, OR NPI 1003181983
About NPI 1922483296
Jacob Wicks's National Provider Identifier is 1922483296, issued on Jul 28, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Feb 4, 2020.