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Mr. Jack Lee Otterstrom, LCSW
Clinical Social Worker in Independence, Oregon
NPI 1922163096

Jack Lee Otterstrom is a Clinical Social Worker based in Monmouth, OR and is specialized in Clinical. Jack Lee Otterstrom practices in Independence, OR and has the professional credentials of LCSW. The NPI Number for Jack Lee Otterstrom is 1922163096 and holds a License No. L5316 (Oregon).

The current practice location address for Jack Lee Otterstrom is 656 Jasmine Cir, Independence, OR and can be reached out via phone at 541-231-8023. You can also correspond with Jack Lee Otterstrom through the mailing address at 619 BROAD ST S # 19, MONMOUTH, OR - 97361-2372 (mailing address contact number: 412-318-0235).

Location: 656 Jasmine Cir, Independence, OR, 97361-2372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922163096
Provider Name
Jack Lee Otterstrom
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
656 Jasmine Cir, Independence, OR, 97361-2372
Phone Number
541-231-8023
Fax Number
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R145387 05 OR
institution
Provider Business Practice Location Address Details
Address
656 Jasmine Cir
City
Independence
State
Oregon
Zip
97351-9578
Phone Number
541-231-8023
Fax Number
person
Provider Business Mailing Address Details
Address
656 Jasmine Cir
City
Independence
State
Oregon
Zip
97351-9578
Phone Number
541-231-8023
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
L3516 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
L5316 (Oregon)
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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