JILL CLARK


Address: 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873
Phone: 5032538020

JILL CLARK (NPI# 1750573804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750573804
Entity Type Individual
Full Name JILL CLARK
Credential LCSW
Practice Address 10373 Ne Hancock St
Suite 200
Portland
OR 97220-3873
Mailing Address 8803 Se 12th Ave
Portland
OR 97202-7097
Practice Telephone 5032538020
Mailing Telephone 5037542477
Enumeration Date 2007-08-13
Last Update Date 2011-04-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
L4822 OR Behavioral Health & Social Service Providers

Other Providers JILL CLARK

NPI Name Taxonomy Address Enumeration
1922368075 Jill M Clark Speech-Language Pathologist 147 Trailside Cir, Hiram, GA 30141-3277 2012-05-23
1861777096 Jill B. Clark Counselor 5123 Old Plank Rd, Onondaga, MI 49264-9707 2011-10-19
1174850739 Jill A Clark Massage Therapist 54 C Utica St., Hamilton, NY 13346 2009-11-03
1639351448 Jill Page Clark Occupational Therapy Assistant 1500 Woodline Drive, Raleigh, NC 27603-5760 2007-12-04
1487179255 Jill Anne Clark Social Worker 401 Broad Street, Johnstown, PA 15906 2017-08-13
1598118648 Jill Clark Social Worker 255 Elk Dr Ste C, Burleson, TX 76028-8691 2016-07-13
1871852681 Jill Clark Counselor 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2012-05-14
1205133246 Jill Clark Pharmacist 1156 Carter Rd, Owensboro, KY 42301-2644 2011-02-25
1407164353 Jill M Clark Chiropractor 401 W Ontario St, Suite 100, Chicago, IL 60654-6957 2010-09-14
1295922052 Jill Elisabeth Clark Colon & Rectal Surgery 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 2007-09-26

Office Location

Street Address 10373 NE HANCOCK ST
SUITE 200
City PORTLAND
State OR
Zip Code 97220-3873

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861481285 Nora Lou Fairley Psychiatry & Neurology 10373 Ne Hancock St, Suite 115, Portland, OR 97220-3873 2005-10-18
1255931291 Muhira M Amei Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2020-10-28
1700355138 Teresa Enigma Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2018-11-14
1962919183 Talina Marshay Branch Peer Specialist 10373 Ne Hancock St, Portland, OR 97220-3873 2018-01-09
1508375619 Colin Lee Kaehler Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2017-09-21
1871976191 Alexandria Schweitzer Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2015-07-06
1972909083 Meredith Arend Counselor 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 2014-11-17
1922408186 Ronald Gerard Malanga Jr. Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2014-08-25
1760891014 Victor Boomer-jenks Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2014-08-11
1265841225 Fred Green Counselor 10373 Ne Hancock St, Portland, OR 97220-3873 2014-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
Find all providers in zip 97220

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063012649 Kathleen Russell Social Worker 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 2020-10-31
1275131534 Alice Hacker Social Worker 14702 Se Rhone St, Portland, OR 97236-2557 2020-10-09
1598372070 Kristin Elizabeth Hajny Social Worker 9343 Sw Camille Ter, Portland, OR 97223-7042 2020-09-28
1821605759 Melanie Smith Social Worker 4210 N Juneau St, Portland, OR 97203-2063 2020-09-24
1871100867 Purely Spirit Holistic Health, LLC Social Worker 226 Stevens Ave Apt 9, Portland, ME 04102-2263 2020-09-24
1023624780 Flourish Counseling and Consulting LLC Social Worker 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 2020-09-18
1245845130 Crescent Psychotherapy Social Worker 168 Neal St, Portland, ME 04102-3343 2020-09-09
1861007676 Yvonne Recchia Social Worker 5257 Ne Mlk, Portland, OR 97211-3282 2020-09-09
1447864327 Gordon Keepers Social Worker 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 2020-09-08
1609484187 Julie Pratt Social Worker 14 Culver Ln, Portland, CT 06480-1323 2020-07-21
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97220

Improve Information

Please comment or provide details below to improve the information on JILL CLARK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches