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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAKE HEATH JACOBSEN, ATR, LCSW

Active Sole Proprietor

MR. JAKE HEATH JACOBSEN, ATR, LCSW is a Clinical Social Worker healthcare provider located in PORTLAND, Oregon. NPI 1992932479 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORTLAND, OR

Registration Details

NPI Number
1992932479
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2009 (17.185709157548 yrs)
Last Updated
Sep 22, 2014
Licenses
069903-1 (NY)
069903 (NY)
L6016 (OR)
Sole Proprietor
Yes

Practice Information

Address
6124 SE MILWAUKIE AVE
PORTLAND, OR, 972025347
Browse OR providers · Browse ZIP 97202
Phone
3474494565
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PORTLAND, OR

Name Credential NPI
LAURANELL SCARFO LCSW 1659371169
LAURA L WOZNIAK LCSW 1487642047
SUSAN SHERWOOD LCSW 1144219114
KAREN ST CLAIR LCSW 1124017199
ARTICE E GEARY LCSW 1508856188
MS. SABRINA ULLMANN MATHEWS LCSW 1235110248
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.