JACQUELINE FAYE RICHLAND CSWA
NPI 1063955623
Social Worker in Portland, OR

Active since November 29, 2016
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2026, Aug 16, 2023, Jan 4, 2017 (3 updates tracked since 2017).

About Jacqueline Faye Richland Cswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE FAYE RICHLAND CSWA (NPI 1063955623) is an individual social worker in Portland, Oregon, licensed in Oregon (A14963) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1063955623
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUELINE FAYE RICHLANDCredential: CSWA
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355
Fax(971) 279-2051
Sole ProprietorNo
Enumeration DateNovember 29, 2016
Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1063955623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in OR · A14963
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

12360 E BURNSIDE ST, Portland, OR 97233

Other Names 1

Other Name (5)Jackie Faye Richland Cswa

Other Identifiers 1

Medicaid500719288OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Social Worker (Clinical)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Richland's NPI number?

The NPI number for Jacqueline Richland is 1063955623. It was assigned to this individual provider in the NPPES registry on November 29, 2016. The provider is also known as Jackie Faye Richland Cswa.

Where is Jacqueline Richland located?

Jacqueline Richland practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.

What is Jacqueline Richland's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Richland was last updated on March 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.