MR. JAKE HEATH JACOBSEN ATR, LCSW
NPI 1992932479
Social Worker - Clinical in Portland, OR

Active since June 11, 2009
6124 SE MILWAUKIE AVE, PORTLAND, OR 97202(347) 449-4565 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jake Heath Jacobsen Atr, Lcsw NPPES

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

MR. JAKE HEATH JACOBSEN ATR, LCSW (NPI 1992932479) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L6016) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1992932479
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JAKE HEATH JACOBSENCredential: ATR, LCSW
Location Address6124 SE MILWAUKIE AVEPortland, OR 97202-5347
Mailing Address6124 Se Milwaukie AvePortland, OR 97202-5347 · (347) 449-4565
Sole ProprietorYes
Enumeration DateJune 11, 2009
Last NPPES UpdateSeptember 22, 2014
NPI 1992932479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in OR · L6016 Licensed in NY · 069903-1 Licensed in NY · 069903
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.
6124 SE MILWAUKIE AVE, Portland, OR 97202

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
6124 SE MILWAUKIE AVE, SUITE B
PORTLAND, OR 97202
Counselor (Mental Health)
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202
Counselor (Mental Health)
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202
Marriage & Family Therapist
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202
Counselor (Mental Health)
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202
Social Worker (Clinical)
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202
Acupuncturist
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202
Specialist
6124 SE MILWAUKIE AVE
PORTLAND, OR 97202

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 Jake Jacobsen's NPI number?

The NPI number for Jake Jacobsen is 1992932479. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Jake Jacobsen located?

Jake Jacobsen practices at 6124 SE Milwaukie Ave, Portland, OR 97202. The listed phone number is (347) 449-4565.

What is Jake Jacobsen'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 Jake Jacobsen was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.