JENNIFER WOLD


Address: 2801 N Gantenbein Ave, Portland, OR 97227-1623
Phone: 5034131965

JENNIFER WOLD (NPI# 1306211487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306211487
Entity Type Individual
Full Name JENNIFER WOLD
Credential LCSW
Practice Address 2801 N Gantenbein Ave
Portland
OR 97227-1623
Practice Telephone 5034131965
Practice Fax Number 5034135478
Mailing Telephone 5034131965
Mailing Fax Number 5034135478
Enumeration Date 2015-12-01
Last Update Date 2015-12-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
L6056 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR NPI 1831112358 01

Other Providers JENNIFER WOLD

NPI Name Taxonomy Address Enumeration
1386953826 Jennifer Renee Wold Physician Assistant 1960 N Ogden St, Suite 520, Denver, CO 80218-3666 2010-10-01

Office Location

Street Address 2801 N GANTENBEIN AVE
City PORTLAND
State OR
Zip Code 97227-1623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027198 James P Mccord Pediatrics 2801 N Gantenbein Ave, Portland, OR 97227-1623 2005-07-20
1225639040 Lina Rossetti-grulich Nurse Practitioner 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-11-06
1033722673 Karen Bronson Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-08-24
1356969331 Sandy Hammer Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2020-07-07
1225673999 Odaisa Igwe Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-16
1952945578 Julie Lorine Hoover Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-11-06
1285278648 Kate Harrell Unterberger Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-29
1780227082 Keegan Carly Fritzke Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-21
1578106860 Corinne Frohlick Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-20
1386287662 Aimee Breitfelder Reddy Pharmacist 2801 N Gantenbein Ave, Portland, OR 97227-1623 2019-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1730615071 Mehran Giblin Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 2017-05-05
1730623687 Christina Grace Belter Optometrist 300 N Graham St Ste 300, Portland, OR 97227 2016-12-12
1407300205 Jenna Abernathy Counselor 3537 N Williams Ave, Portland, OR 97227 2016-08-09
1215390760 Tanya Marie Woods Massage Therapist 3808 N. Williams Ave., Portland, OR 97227 2016-04-01
1033596853 Eric Allen Martin Counselor 2054 N. Vancouver Ave, Portland, OR 97227 2015-04-30
1285040436 Berk Neurosurgical LLC Neurological Surgery 501 N Graham St Ste 500, Portland, OR 97227 2014-07-09
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1447864327 Gordon Keepers Social Worker 3181 Sw Sam Jackson Park Rd # Uhs8-l, Portland, OR 97239-3098 2020-09-08
1609484187 Julie Pratt Social Worker 14 Culver Ln, Portland, CT 06480-1323 2020-07-21
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Competitor

Search similar providers

City PORTLAND
Zip Code 97227

Improve Information

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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.

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