Individual provider · Type 1 NPI

Jean Louise Waterman, LCSW

Clinical Social Worker · Portland, OR

NPI number 1942484407 Active

Practice location

605 SE 39th Ave
Portland, OR 97214-3216

Call (503) 231-7480 Map

Fax (503) 731-9574

Mailing address

7805 SW Taylors Ferry Rd
Portland, OR 97223-9072

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1272 (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 1942484407

Jean Louise Waterman, LCSW's National Provider Identifier is 1942484407, issued on Dec 19, 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 Dec 19, 2007.