JILL CLARK LCSW
NPI 1750573804
Social Worker - Clinical in Portland, OR

NPI Status: Active since August 13, 2007

Contact Information

10373 NE HANCOCK ST
SUITE 200
PORTLAND, OR
ZIP 97220
Phone: (503) 253-8020

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Social Worker
Clinical
Accepts Insurance

About JILL CLARK

This page provides the complete NPI Profile along with additional information for Jill Clark, a provider established in Portland, Oregon with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750573804 assigned on August 2007. The practitioner's primary taxonomy code is 1041C0700X with license number L4822 (OR). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI: 1750573804
Provider Name: JILL CLARK LCSW
Gender: Female
Entity Type: Individual
Location Address: 10373 NE HANCOCK ST SUITE 200 PORTLAND, OR 97220
Location Phone: (503) 253-8020
Mailing Address: 8803 SE 12TH AVE PORTLAND, OR 97202
Mailing Phone: (503) 754-2477
Is Sole Proprietor?: Yes
Enumeration Date: 08-13-2007
Last Update Date: 04-08-2011
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A clinical social worker like Jill Clark is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: L4822
License State: OR
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

PacificSource Health Plans

Navigator Bronze 7000 Exchange - PPO
Navigator Bronze 9200 - PPO
Navigator Bronze HSA 8050 - PPO
Navigator Gold 1500 - PPO
Navigator Gold 1500 Exchange - PPO
Navigator Gold 500 Exchange - PPO
Navigator Silver 3500 Exchange - PPO
Navigator Silver 4000 Exchange - PPO
Navigator Silver 5000 - PPO
Navigator Silver HSA 3500 - PPO
Navigator Standard Expanded Bronze - PPO
Navigator Standard Gold - PPO
Navigator Standard Silver - PPO
PacificSource Oregon Standard Bronze Plan NAV - PPO
PacificSource Oregon Standard Gold Plan NAV - PPO
PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	5	7	3	8	0	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	10	7	6	8	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 7 + 6 + 8 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1750573804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. NORA LOU FAIRLEY MD

Psychiatry & Neurology

(Psychiatry)

10373 NE HANCOCK ST
SUITE 115
PORTLAND, OR
ZIP 97220

About JILL CLARK

Location Map

Specialty - Primary Taxonomy

Social Worker Clinical

Insurance Plans Accepted

PacificSource Health Plans

Reviews for JILL CLARK LCSW

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Jill Clark's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Jill Clark accept?