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Jennifer Wallis, LCSW,CADCIII
Clinical Social Worker in Portland, Oregon
NPI 1821285628

Jennifer Wallis is a Clinical Social Worker based in Portland, OR and is specialized in Clinical. Jennifer Wallis practices in Portland, OR and has the professional credentials of LCSW,CADCIII. The NPI Number for Jennifer Wallis is 1821285628 and holds a License No. (Oregon).

The current practice location address for Jennifer Wallis is 19500 Se Stark St, Portland, OR and can be reached out via phone at 503-278-0397.

Location: 19500 Se Stark St, Portland, OR, 97233-5757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821285628
Provider Name
Jennifer Wallis
Credential
LCSW,CADCIII
Provider Entity Type
Individual
Gender
Female
Address
19500 Se Stark St, Portland, OR, 97233-5757
Phone Number
503-278-0397
Fax Number
Provider Enumeration Date
09/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19500 Se Stark St
City
Portland
State
Oregon
Zip
97233-5757
Phone Number
503-278-0397
Fax Number
person
Provider Business Mailing Address Details
Address
19500 Se Stark St
City
Portland
State
Oregon
Zip
97233-5757
Phone Number
503-278-0397
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
L5660 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12-03-77 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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