Gerardo Jimenez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L8206 Issued in OR

Practice address

3000 Market St NE Ste 426
Salem, OR 97301-1894

Phone

(503) 583-3604

NPI assigned

Jan 29, 2015

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Grace Wellness Center LLC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1508777178
  Authorized official Same address or phone

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1073903977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 SERRA CT NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052644",
            "telephone_number": "503-583-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 426",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011894",
            "telephone_number": "503-583-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 4th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212575",
            "country_code": "US",
            "telephone_number": "503-583-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "GERARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Michelle Jewett, P.A.-C
• Donna Louise Jezierski, MA
• Dagne Jima
• Ricardo Ernesto Jimenez Ibarra
• Patricia Maria Jimenez Mendez, MD
• James Fridrick Jimenez
• Kelsey Nickole Jipp
• Rahim Jiwani, MD
• Jo Ann Barnes PHD PC
• Christie Joachim, LMT

• 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 Sep 14, 2026; 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.