Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSIE KULLBERG, LCSW
Active Sole ProprietorJESSIE KULLBERG, LCSW is a Clinical Social Worker healthcare provider located in NORTH BEND, Oregon. NPI 1396010286 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NORTH BEND, OR
Registration Details
- NPI Number
- 1396010286
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2012 (14.399820848696 yrs)
- Last Updated
- Jul 26, 2013
- License
-
L5271 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1944 SHERMAN AVE STE 201NORTH BEND, OR, 974593478Browse OR providers · Browse ZIP 97459
- Phone
- 5412606098
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in NORTH BEND, OR
| Name | Credential | NPI |
|---|---|---|
| KATHERINE W PARKER | L.C.S.W. | 1083685614 |
| MR. DAVID FRANCIS BERTAPELLE | LCSW | 1174697940 |
| FRANK C FORD | LCSW | 1023236551 |
| MS. GLADYS SHADE | QMHP, LCSW | 1114137494 |
| MR. BRUCE SWANSON | QMHP | 1689884892 |
| MR. CRAIG ANDERSON | QMHP, LCSW | 1497965586 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.