Active NPI
Karen L. Jacobs, MSW, LCSW
- Clinical Social Worker
- Salem, OR
National Provider Identifier
1194034892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6217
- Practice address
- 821 Saginaw St S
Salem, OR 97302-4121 - Phone
- (503) 589-4046
- Fax
- (503) 480-0484
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | L6217 | OR | Primary |
Addresses
Primary practice location
821 Saginaw St S
Salem, OR 97302-4121
Mailing address
821 Saginaw St S
Salem, OR 97302-4121
Phone (541) 224-6652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194034892 | Medicaid | OR |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 362-1999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Psychiatric Associates, P.C. | Clinical | Current | Accepting new patients |
Locations
821 Saginaw St S
Salem, OR 97302
Phone (503) 362-1999
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1194034892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SAGINAW ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024121",
"telephone_number": "541-224-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SAGINAW ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024121",
"telephone_number": "503-589-4046",
"fax_number": "503-480-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KAREN",
"middle_name": "L.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194034892",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.