Savoy Rose Jade, LCSW, LMT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6109 Issued in OR

Practice address

1642 N Coast Hwy
Newport, OR 97365-2357

Phone

(541) 961-8423

Fax

(541) 265-9852

NPI assigned

Dec 28, 2009

Last updated

Apr 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nehalem Bay Health Center and Pharmacy

  • Student Health Clinic/Center
  • Rockaway Beach, OR
  • NPI 1811569387
  NPD (past)

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1013247998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2104",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973650152",
            "telephone_number": "541-961-8423",
            "fax_number": "541-265-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 N COAST HWY",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973652357",
            "telephone_number": "541-961-8423",
            "fax_number": "541-265-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADE",
        "first_name": "SAVOY",
        "middle_name": "ROSE",
        "credential": "LCSW, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6109",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "14673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Option, PLLC
• Inactive - County of Lincoln (Lincoln County Health & Human Services)
• Integrated Body Therapeutics LLC (Newport Chiropractic)
• Integrity Women's Health & Wellness, LLC (Integrity Coastal Health & Wellness)
• Cynthia A. Jacobi, CRNA
• Jeffrey D Janecek, PHARM D.
• Jenny Lynn Janssens, LPC
• Michael Javid, DO
• Elke Silveira Johnson, RN
• Nayla Johnson

• Clinical Social Worker in Newport, OR
• Providers in Newport, 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 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.