JESSIE KULLBERG LCSW
NPI 1396010286
Social Worker - Clinical in North Bend, OR

Active since March 12, 2012
1944 SHERMAN AVE STE 201, NORTH BEND, OR 97459(541) 260-6098 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessie Kullberg Lcsw NPPES

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

JESSIE KULLBERG LCSW (NPI 1396010286) is an individual clinical provider in North Bend, Oregon, licensed in Oregon (L5271) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1396010286
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSIE KULLBERGCredential: LCSW
Location Address1944 SHERMAN AVE STE 201North Bend, OR 97459-3478
Mailing AddressPo Box 1316North Bend, OR 97459-0088 · (541) 260-6098
Sole ProprietorYes
Enumeration DateMarch 12, 2012
Last NPPES UpdateJuly 26, 2013
NPI 1396010286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OR · L5271
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.
1944 SHERMAN AVE STE 201, North Bend, OR 97459

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 Jessie Kullberg's NPI number?

The NPI number for Jessie Kullberg is 1396010286. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Jessie Kullberg located?

Jessie Kullberg practices at 1944 Sherman Ave Ste 201, North Bend, OR 97459. The listed phone number is (541) 260-6098.

What is Jessie Kullberg'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 Jessie Kullberg was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.