Jeff Lynn Liddell
Jeff Lynn Liddell · Social Worker (Clinical)

Address: 1803 N Simpson St, Portland, OR 97217-4658
Phone: 5033107591

Jeff Lynn Liddell (NPI# 1013546217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013546217
Entity Type Individual
Full Name Jeff Lynn Liddell
Other Name Jeff Lynn Liddell
Credential LCSW
Gender Male
Practice Address 1803 N Simpson St
Portland
OR 97217-4658
Practice Telephone 5033107591
Mailing Address 1803 N Simpson St
Portland
OR 97217-4658
Mailing Telephone 5033107591
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-08
Last Update Date 2020-04-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1041C0700X Social Worker · Clinical Behavioral Health & Social Service Providers L2942 OR

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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NPI Name Taxonomy Address Enumeration
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1801490263 Sharice Burnett, Lcsw, LLC Social Worker 9437 Ne Blue Heron Ct, Portland, OR 97211-1688 2020-11-25
1063012649 Kathleen Russell Social Worker 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 2020-10-31
1275131534 Alice Hacker Social Worker 14702 Se Rhone St, Portland, OR 97236-2557 2020-10-09
1598372070 Kristin Elizabeth Hajny Social Worker 9343 Sw Camille Ter, Portland, OR 97223-7042 2020-09-28
1821605759 Melanie Smith Social Worker 4210 N Juneau St, Portland, OR 97203-2063 2020-09-24
1871100867 Purely Spirit Holistic Health, LLC Social Worker 226 Stevens Ave Apt 9, Portland, ME 04102-2263 2020-09-24
1023624780 Flourish Counseling and Consulting LLC Social Worker 8401 Ne Halsey St Ste 107, Portland, OR 97220-5670 2020-09-18
1245845130 Crescent Psychotherapy Social Worker 168 Neal St, Portland, ME 04102-3343 2020-09-09
1861007676 Yvonne Recchia Social Worker 5257 Ne Mlk, Portland, OR 97211-3282 2020-09-09
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Office Location

Street Address 1803 N SIMPSON ST
City PORTLAND
State OR
Zip Code 97217-4658

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326531666 Working Class Medicine LLC Clinic/Center 2133 N. Willis Blvd, Studio D, Portland, OR 97217 2018-06-12
1235643602 Autism Outreach of Oregon Occupational Therapist 10350 N Vancouver Way #1043, Portland, OR 97217 2017-11-21
1689183717 Kai-uwe H. Hahn Dmd Dba Edelweiss Dental Clinic/Center 3503 N Lombard Street, Portland, OR 97217 2017-09-20
1407308125 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 3449 N Anchor Street, Ste 300a, Portland, OR 97217 2016-10-28
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1801282199 Justine Osborn Specialist 4310 N. Interstate Ave, Portland, OR 97217 2015-04-13
1578957742 Paul Buck Md, Dds, PC Dentist 3332 N Lombard St, Suite C, Portland, OR 97217 2015-03-25
1295158186 Rebecca Bulleri Massage Therapist 5416 N. Maryland Ave, Portland, OR 97217 2014-01-28
1659793107 Shellmire Unlimited, P.C. Community/Behavioral Health 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 2014-01-16
1417207994 Sportland Acupuncture LLC Acupuncturist 1025 N Humboldt, Portland, OR 97217 2012-09-12
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Competitor

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City PORTLAND
Zip Code 97217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.