JACOB WICKS
NPI 1922483296
Social Worker - Clinical in Portland, OR

Active since July 28, 2015
2800 N VANCOUVER AVE STE 165, PORTLAND, OR 97227(503) 413-2902(503) 413-5220 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2020, Jan 13, 2016 (2 updates tracked since 2016).

About Jacob Wicks NPPES

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

JACOB WICKS (NPI 1922483296) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L8045) and active in the NPI registry since July 2015. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1922483296
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB WICKS
Location Address2800 N VANCOUVER AVE STE 165Portland, OR 97227-1644
Mailing AddressPo Box 4399Portland, OR 97208-4399 · (503) 413-3900 · Fax (503) 413-3710
Fax(503) 413-5220
Sole ProprietorYes
Enumeration DateJuly 28, 2015
Last NPPES UpdateFebruary 4, 20202 updates tracked since enumeration
NPI 1922483296 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 OR · L8045
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 ListedSocial WorkerTaxonomy 104100000X · License 0858761 (NY)
2800 N VANCOUVER AVE STE 165, Portland, OR 97227

Secondary Practice Location 1

Location 111035 NE Sandy BlvdPortland, OR 97220-2553 · Phone (503) 258-4200

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227
Social Worker
2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227
Community Health Worker
2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227
Pediatrics
2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227

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 Jacob Wicks's NPI number?

The NPI number for Jacob Wicks is 1922483296. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Jacob Wicks located?

Jacob Wicks practices at 2800 N Vancouver Ave Ste 165, Portland, OR 97227. The listed phone number is (503) 413-2902.

What is Jacob Wicks'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 Jacob Wicks was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.