Individual provider Active NPI

Jennifer R O'Neal

  • Clinical Social Worker
  • Anchorage, AK
National Provider Identifier
1144815804
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
211651 Issued in AK
Practice address
3760 Piper St Ste Ll139
Anchorage, AK 99508-4683
Phone
(907) 563-5006
Fax
(907) 563-3217
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 211651 AK Primary

Addresses

Primary practice location

3760 Piper St Ste Ll139
Anchorage, AK 99508-4683

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068

Other practice location 1

2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20250508001602 AK Practitioner - Clinical Social Worker 6608393053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ge Family Services LLCGroup PAC ID 0244697712, 7 clinicians

Practice addresses (Care Compare)

341 W Tudor Rd
Suite 209
Anchorage, AK 99503-6648
Phone (907) 331-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ge Family Services LLC Addiction (Substance Use Disorder) CurrentSince Mar 1, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 21, 2024 Accepting new patients
Providence Health & Services - Washington PastSince Jul 21, 2024 Accepting new patients
Denali Family Services PastSince Mar 1, 2021 Accepting new patients

Locations

3760 Piper St
Ste LL139
Anchorage, AK 99508
Phone (907) 212-6240

341 W Tudor Rd
Ste 209
Anchorage, AK 99503
Phone (855) 508-1075

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/denalifs/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1144815804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 PIPER ST STE LL139",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084683",
            "telephone_number": "907-563-5006",
            "fax_number": "907-563-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Cordova St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032745",
            "country_code": "US",
            "telephone_number": "907-279-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "211651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.