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

Jacy Saucedo

Individual provider Clinical Social Worker · NPI 1558791871

Jacy Saucedo is a Clinical Social Worker in Portland, Oregon. Qualified in 2011, 15 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2013
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Practice location Address checks out

14781 SW 109th Ave Apt 3
Portland, OR 97224-3223
Phone: (503) 235-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L11425 (OR)

Record details

NPI number1558791871
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2013
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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