Individual provider Active NPI

Jamie Raffety

  • Clinical Social Worker
  • Philomath, OR
National Provider Identifier
1104577204
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L18625 Issued in OR
Practice address
609 S 16TH St
Philomath, OR 97370-9666
Phone
(541) 224-4226
NPI assigned
Jan 11, 2022
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 L18625 OR Primary

Addresses

Primary practice location

609 S 16TH St
Philomath, OR 97370-9666

Mailing address

609 S 16TH St
Philomath, OR 97370-9666
Phone (541) 224-4226

Other practice location 1

2211 NW Professional Dr
Corvallis, OR 97330-3891
Phone (541) 257-5500

Other practice location 2

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone (541) 758-5900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L18625ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Mental Health CurrentSince Apr 20, 2025 Accepting new patients
Jamie Raffety LLC Clinical Past Accepting new patients
Western Psychological and Counseling Services LLC Mental Health PastSince Apr 20, 2025 Accepting new patients

Locations

2211 NW Professional Dr
Ste 101
Corvallis, OR 97330
Phone (541) 257-5500

4185 SW Research Way
Ste 110
Corvallis, OR 97333
Phone (541) 257-5500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1104577204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S 16TH ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709666",
            "telephone_number": "541-224-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S 16TH ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709666",
            "telephone_number": "541-224-4226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 NW Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303891",
            "country_code": "US",
            "telephone_number": "541-257-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 NE Highway 20",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973309695",
            "country_code": "US",
            "telephone_number": "541-758-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFETY",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philomath, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.