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

Jessie Kullberg, LCSW

Individual provider Clinical Social Worker · NPI 1396010286

Jessie Kullberg, LCSW is a Clinical Social Worker in North Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1944 Sherman Ave Ste 201
North Bend, OR 97459-3478
Phone: (541) 260-6098
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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 L5271 (OR)

Record details

NPI number1396010286
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 12, 2012
Last updated in NPPESJuly 26, 2013

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