Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Wicks

Individual provider Social Worker · NPI 1922483296

Jacob Wicks is a Social Worker in Portland, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in New York and Oregon.

Licensed in
NY, OR
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

2800 N Vancouver Ave Ste 165
Portland, OR 97227-1644
Phone: (503) 413-2902
Fax: (503) 413-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11035 Ne Sandy Blvd, Portland, OR 97220-2553 — (503) 258-4200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L8045 (OR)
Social Worker Taxonomy 104100000X · Licence 0858761 (NY)
Social Worker Taxonomy 104100000X

Record details

NPI number1922483296
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2015
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing addressPo Box 4399, Portland, OR 97208-4399

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