Active NPI
Jillian McMahon, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1093691263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L11977
- Practice address
- 933 NW 25TH Ave
Portland, OR 97210-2829 - Phone
- (503) 525-0090
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L11977 | OR | Primary |
Addresses
Primary practice location
933 NW 25TH Ave
Portland, OR 97210-2829
Mailing address
933 NW 25TH Ave
Portland, OR 97210-2829
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
933 NW 25TH Ave
Portland, OR 97210-2829
Phone (503) 525-0090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Health Center,PC | Current | Accepting new patients |
Locations
721 NW 9th Ave
Ste 100
Portland, OR 97209
Phone (503) 345-9339
933 NW 25th Ave
Portland, OR 97210
Phone (503) 221-1870
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Portland, OR
- NPI 1104918275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1093691263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 NW 25TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 NW 25TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102829",
"telephone_number": "503-525-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "JILLIAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L11977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.