Jennifer Louise Speakman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L6793 Issued in OR

Practice address

4005 Highway 101 Ste 1
Florence, OR 97439-7804

Phone

(541) 294-1657

NPI assigned

Mar 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mindwise Counseling

  • Clinical Social Worker
  • Florence, OR
  • NPI 1134685456
  Medicare reassignment NPD Authorized official
• Options Counseling Services of Oregon

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1548275217
  Medicare reassignment NPD

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1023435591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 HIGHWAY 101 STE 1",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397804",
            "telephone_number": "541-991-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 HIGHWAY 101 STE 1",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397804",
            "telephone_number": "541-294-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKMAN",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert A Smith, MD
• Brenda Pearl Smith, M.D., F.A.C.E.P.
• David R Smith, MD
• Jamye Smith, BA
• Sheila Marie Snyder, CFA
• Nicole Stadelman, DPT
• N. Lucas Stang, PA-C
• John Stanger, DPM
• Paul R Stauffer, M.D.
• Mark K Stone, L.AC.

• Clinical Social Worker in Florence, OR
• Providers in Florence, 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, 2019; 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.