Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jake Heath Jacobsen, ATR, LCSW

Individual provider Clinical Social Worker · NPI 1992932479

Mr. Jake Heath Jacobsen, ATR, LCSW is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in New York and Oregon.

Licensed in
NY, OR
In the registry since
2009
Specialties on file
3
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

6124 SE Milwaukie Ave
Portland, OR 97202-5347
Phone: (347) 449-4565
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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 L6016 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 069903-1 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 069903 (NY)

Record details

NPI number1992932479
Entity typeIndividual (Type 1)
GenderMale
Credentials ATR , LCSW
Sole proprietorYes
NPI enumeratedJune 11, 2009
Last updated in NPPESSeptember 22, 2014

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