Individual provider Active NPI

Jessica Marcev, MSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1003465022
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2669 NE Twin Knolls Dr Ste 103
Bend, OR 97701-4895
Phone
(541) 205-9235
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2669 NE Twin Knolls Dr Ste 103
Bend, OR 97701-4895

Mailing address

1334 NE Purcell Blvd Apt 3
Bend, OR 97701-6332
Phone (804) 564-6229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Center Therapy, LLC Clinical CurrentSince Oct 8, 2023 Accepting new patients
Program Design Concepts, Inc PastSince Sep 1, 2019 Accepting new patients

Locations

2669 NE Twin Knolls Dr
Ste 103
Bend, OR 97701
Phone (541) 205-9235

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1003465022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 NE PURCELL BLVD APT 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016332",
            "telephone_number": "804-564-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 NE TWIN KNOLLS DR STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014895",
            "telephone_number": "541-205-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCEV",
        "first_name": "JESSICA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.