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Provider Profile

Jennifer Wallis, LCSW, CADCIII

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At a glance

About Jennifer Wallis

Jennifer Wallis, LCSW, CADCIII is a clinical social worker practicing in Portland, OR. Jennifer is also listed as specializing in addiction & substance abuse counselor and mental health counselor. This provider record is associated with NPI 1821285628.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. 12-03-77As reported
OR licenceAs reported to the NPI registry
No. L5660As reported
NPINational Provider Identifier
1821285628Issued 2007

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jennifer Wallis, LCSW specialize in?

Jennifer Wallis, LCSW is a clinical social worker in Portland, OR. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jennifer Wallis, LCSW located?

Jennifer Wallis, LCSW is listed at 19500 Se Stark St, Portland, OR 97233. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jennifer Wallis, LCSW's phone number?

The number on file is (503) 278-0397. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jennifer Wallis, LCSW's NPI number?

Jennifer Wallis, LCSW's National Provider Identifier is 1821285628. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jennifer Wallis, LCSW been practicing?

Jennifer Wallis, LCSW has 19+ years experience. Registered with an NPI since 2007. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jennifer Wallis, LCSW confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jennifer Wallis, LCSW. If this is you, claiming it is free.

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