Individual provider Active NPI

Jennifer Jill Pariera, LCSW

  • Clinical Social Worker
  • Washougal, WA
National Provider Identifier
1265796569
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60721436 Issued in WA
Practice address
1037 E Street
Washougal, WA 98671
Phone
(360) 787-1414
NPI assigned
Jul 2, 2012
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 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 LW60721436 WA Primary

Addresses

Primary practice location

1037 E Street
Washougal, WA 98671

Mailing address

1037 E St
Washougal, WA 98671-1319
Phone (360) 787-1414

Other practice location 1

201 NE Park Plaza Dr Ste 145
Vancouver, WA 98684-5873
Phone (360) 729-8383

Other practice location 2

3400 Main St Ste 300
Vancouver, WA 98663-2223
Phone (360) 696-5300

Other identifiers 1

IdentifierTypeStateIssuer
2111874MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20171127002392 WA Practitioner - Clinical Social Worker 8022375286 Reassigns benefits to 2 organizations
Practice locations: Washougal, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 9739092065, 101 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

3400 Main St
Vancouver, WA 98663-2223
Phone (360) 256-2000

505 NE 87TH Ave
Vancouver, WA 98664-1965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 5, 2022 Accepting new patients
Peacehealth CurrentSince Dec 5, 2022 Accepting new patients
Peacehealth CurrentSince Jul 11, 2023 Accepting new patients
Southwest Washington Medical Center Past Accepting new patients

Locations

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

201 NE Park Plaza Dr
Ste 145
Vancouver, WA 98684
Phone (360) 729-8383

3400 Main St
Vancouver, WA 98663
Phone (360) 696-5016

3400 Main St
Ste 300
Vancouver, WA 98663
Phone (360) 696-5300

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

8716 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 514-4325

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, 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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1265796569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 E ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986711319",
            "telephone_number": "360-787-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E STREET",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "98671",
            "telephone_number": "360-787-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NE Park Plaza Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986845873",
            "country_code": "US",
            "telephone_number": "360-729-8383",
            "fax_number": "360-729-3534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632223",
            "country_code": "US",
            "telephone_number": "360-696-5300",
            "fax_number": "360-729-3372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIERA",
        "first_name": "JENNIFER",
        "middle_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60721436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111874",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

Verify at the official NPI Registry.