Jes Dimas, LCSW, LICSW, LSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L8221 Issued in OR

Practice address

494 State St Ste 270
Salem, OR 97301-3647

Phone

(503) 583-2121

Fax

(855) 855-4872

NPI assigned

Nov 7, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lutheran Community Services Northwest

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1255542106
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1003245242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 STATE ST STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013647",
            "telephone_number": "503-583-2121",
            "fax_number": "855-855-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 STATE ST STE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013647",
            "telephone_number": "503-583-2121",
            "fax_number": "855-855-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAS",
        "first_name": "JES",
        "name_prefix": "Mr.",
        "credential": "LCSW, LICSW, LSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60993977",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OR",
            "license": "431736",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500688776",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay Lynn Dieter, M.D.
• Frances Diferdinando, QMHP CGACI
• Gregory Charles Dilger, D.D.S.
• Patricia Dillon, LPC
• Lawrence Michael Dimacali, PA-C
• Jackie Jenea Dimeglio
• Molly M Dinsdale, LPC
• Deann Dipasquale
• Brian R Dirkx
• Ifeanyichukwu Diru

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.