Active NPI
Jennifer Benson, LCSW
- Social Worker
- Portland, OR
National Provider Identifier
1194377416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2901 E Burnside St
Portland, OR 97214-1831 - Phone
- (503) 238-5203
- NPI assigned
- Jul 16, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
2901 E Burnside St
Portland, OR 97214-1831
Mailing address
2901 E Burnside St
Portland, OR 97214-1831
Other practice location 1
2901 E. Burnside St.
Portland, OR 97214
Phone (503) 238-5203 ext. 123
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owls Nest North Therapy Joint | Social Worker | Current | Accepting new patients |
| Project Quest | Past | Accepting new patients |
Organizations & group practices 2
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": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1194377416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141831",
"telephone_number": "503-238-5203"
}
],
"practiceLocations": [
{
"address_1": "2901 E. Burnside St.",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97214",
"country_code": "US",
"telephone_number": "503-238-5203 x123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Nov 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.