JENNIE JORGENSEN (NPI# 1902207830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902207830 |
| Entity Type | Individual |
| Full Name | JENNIE JORGENSEN |
| Other Name | JENNIE BUTSCH |
| Credential | MSW, LCSW |
| Practice Address |
250 W Marquam St Mount Angel OR 97362-9520 |
| Practice Telephone | 9719835214 |
| Mailing Telephone | 9719835214 |
| Mailing Fax Number | 9719835219 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L6236 | OR | Behavioral Health & Social Service Providers |
| Street Address |
250 W MARQUAM ST |
| City | MOUNT ANGEL |
| State | OR |
| Zip Code | 97362-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528171543 | Silverton Health | Clinic/Center | 250 W Marquam St, Mount Angel, OR 97362-9520 | 2006-08-16 |
| 1215230651 | Jess Ransom Miller | Family Medicine | 250 W Marquam St, Mount Angel, OR 97362 | 2010-12-07 |
| 1669691721 | Heidi Margarita Abreu Pacheco | Internal Medicine | 250 W Marquam St, Mount Angel, OR 97362 | 2007-04-25 |
| 1922163096 | Jack Lee Otterstrom | Counselor | 250 W Marquam St, Mount Angel, OR 97362-9520 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912321308 | Michael John Petracci | Chiropractor | 690 N Main St, Mount Angel, OR 97362 | 2014-02-06 |
| 1750630695 | Amy Roth | Occupational Therapist | 540 S. Main St, Mt. Angel, OR 97362-0000 | 2012-09-06 |
| 1356989271 | Brittany Micaela Curths | Behavior Technician | 315 S Pershing St, Mount Angel, OR 97362-9508 | 2019-12-11 |
| 1942268354 | Faith L. Koschmann | Family Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-03 |
| 1760801310 | Foundations Health and Wellness Center LLC | Chiropractor | 690 N Main St, Mount Angel, OR 97362-9518 | 2014-04-10 |
| 1972644250 | Charles D Hyde | Nurse Practitioner | 690 N Main St, Mount Angel, OR 97362-9518 | 2007-02-09 |
| 1437107083 | James Edward Domst | Family Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-05 |
| 1962450551 | Mayda Ramos | Internal Medicine | 690 N Main St, Mount Angel, OR 97362-9518 | 2006-05-05 |
| 1962844241 | Providence Health & Services-oregon | Hospice Care, Community Based | 580 S Main St, Mount Angel, OR 97362-9540 | 2013-07-26 |
| 1831196302 | Providence Health & Services Oregon | Home Health | 570 S Main Street, Mount Angel, OR 97362-9540 | 2005-06-30 |
| Find all providers in zip 97362 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1063012649 | Kathleen Russell | Social Worker | 7700 Sw Garden Home Rd Apt 23, Portland, OR 97223-7496 | 2020-10-31 |
| 1558961755 | Audrey Schwartz, Lcsw, Lcc | Social Worker | 1518 W 25th Ave, Eugene, OR 97405-1817 | 2020-10-27 |
| 1013516574 | Kathleen Elizabeth Preuss | Social Worker | 14075 Sw Chinn Ln Apt 337, Tigard, OR 97224-0934 | 2020-10-25 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1164021044 | Frederick Dygert, Lcsw | Social Worker | 1445 Willamette St Ste 2b, Eugene, OR 97401-4087 | 2020-10-21 |
| 1275131534 | Alice Hacker | Social Worker | 14702 Se Rhone St, Portland, OR 97236-2557 | 2020-10-09 |
| 1740887249 | Bethany Anne Harvey | Social Worker | 14020 Se Briggs St, Milwaukie, OR 97267-1503 | 2020-10-07 |
| 1598372070 | Kristin Elizabeth Hajny | Social Worker | 9343 Sw Camille Ter, Portland, OR 97223-7042 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT ANGEL |
| Zip Code | 97362 |
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| 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.