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

Mr. Jack Opgenorth, LCSW

Individual provider Clinical Social Worker · NPI 1376679969

Mr. Jack Opgenorth, LCSW is a Clinical Social Worker in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
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

1744 E McAndrews Rd Ste B
Medford, OR 97504
Phone: (541) 776-0821
Fax: (541) 776-5011
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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 L2954 (OR)

Record details

NPI number1376679969
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESFebruary 11, 2016

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