Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Victor Boomer-Jenks, LCSW, LICSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760891014

Victor Boomer-Jenks, LCSW, LICSW is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
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.
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

10373 NE Hancock St
Portland, OR 97220-3873
Phone: (503) 253-6754
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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 L5320 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1760891014
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LICSW
Sole proprietorNo
NPI enumeratedAugust 11, 2014
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

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