IndividualActive
Todd Jacobson, LCSW
NPI 1053479352 · Clinical Social Worker · Saint Helens, OR
Provider details
- NPI number
- 1053479352
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- L2320 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
58646 Mcnulty Way
Saint Helens, OR 97051-6210
Phone: (503) 397-5211
Fax: (503) 397-5373
Approximate (ZIP-level) locationGet directions
Mailing address
58646 Mcnulty Way
Saint Helens, OR 97051-6210
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.