MARY VANDERJACK
NPI 1326917188
Social Worker - Clinical in Portland, OR

Active since October 31, 2025
1785 NE SANDY BLVD STE 270, PORTLAND, OR 97232(907) 723-3521 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Vanderjack NPPES

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

MARY VANDERJACK (NPI 1326917188) is an individual clinical provider in Portland, Oregon and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1326917188
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY VANDERJACK
Location Address1785 NE SANDY BLVD STE 270Portland, OR 97232-2791
Mailing Address4621 Ne Killingsworth St Unit 35Portland, OR 97218-1951 · (907) 723-3521
Sole ProprietorNo
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
NPI 1326917188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1785 NE SANDY BLVD STE 270, Portland, OR 97232

Other Providers at the Same Location NPPES 11

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

Student in an Organized Health Care Education/Training Program
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Mental Health)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Mental Health)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Mental Health)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Professional)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Mental Health)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Mental Health)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232
Counselor (Professional)
1785 NE SANDY BLVD STE 270
PORTLAND, OR 97232

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 Mary Vanderjack's NPI number?

The NPI number for Mary Vanderjack is 1326917188. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Mary Vanderjack located?

Mary Vanderjack practices at 1785 NE Sandy Blvd Ste 270, Portland, OR 97232. The listed phone number is (907) 723-3521.

What is Mary Vanderjack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Vanderjack was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.