MRS. JESSICA JOANNE ETCHEBERRY LICSW
NPI 1427316793
Social Worker - Clinical in Wilsonville, OR

Active since April 24, 2012
8855 SW HOLLY LANE, SUITE 102, WILSONVILLE, OR 97070(971) 319-1613 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Jul 12, 2022 (2 updates tracked since 2022).

About Mrs. Jessica Joanne Etcheberry Licsw NPPES

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

MRS. JESSICA JOANNE ETCHEBERRY LICSW (NPI 1427316793) is an individual clinical provider in Wilsonville, Oregon, licensed in Washington (LW61185614) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1427316793
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JESSICA JOANNE ETCHEBERRYCredential: LICSW
Location Address8855 SW HOLLY LANE, SUITE 102Wilsonville, OR 97070-8792
Mailing Address8855 Sw Holly Lane, Suite 102Wilsonville, OR 97070-8792 · (971) 319-1613
Sole ProprietorYes
Enumeration DateApril 24, 2012
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1427316793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW61185614
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8855 SW HOLLY LANE, Wilsonville, OR 97070

Other Names 1

Former Name (1)Ms. Jessica Joanne Phillippi Lmsw, Qmhp

Other Providers at the Same Location NPPES 2

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

Naturopath
8855 SW HOLLY LANE, SUITE 105
WILSONVILLE, OR 97070
Marriage & Family Therapist
8855 SW HOLLY LANE, SUITE 106
WILSONVILLE, OR 97070

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 Jessica Etcheberry's NPI number?

The NPI number for Jessica Etcheberry is 1427316793. It was assigned to this individual provider in the NPPES registry on April 24, 2012. The provider is also known as Ms. Jessica Joanne Phillippi Lmsw, Qmhp.

Where is Jessica Etcheberry located?

Jessica Etcheberry practices at 8855 SW Holly Lane Suite 102, Wilsonville, OR 97070. The listed phone number is (971) 319-1613.

What is Jessica Etcheberry'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 Jessica Etcheberry was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.