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

Jessica Wagner, LICSW

Individual provider Clinical Social Worker · NPI 1316347198

Jessica Wagner, LICSW is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2014.

Licensed in
OR, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 220-8262
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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 LW6055853 (WA)
Social Worker Taxonomy 104100000X · Licence M5624 (OR)

Record details

NPI number1316347198
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESAugust 22, 2018

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