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

Individual provider Clinical Social Worker · NPI 1609008853

Nick Paul Jacoby, LCSW is a Clinical Social Worker in Oregon City, Oregon. Qualified in 2010, 16 years ago. Practices with County of Clackamas Office of County Auditor, a 75-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2009
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

1002 Library Ct
Oregon City, OR 97045-4066
Phone: (503) 655-8264
Fax: (503) 655-8428
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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 L6907 (OR)

Record details

NPI number1609008853
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2009
Last updated in NPPESFebruary 25, 2016
Mailing address1002 Library Ct, Oregon City, OR 97045-4066

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice County Of Clackamas Office Of County Auditor — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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