Jennifer Jo Warren, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4274 Issued in OR

Practice address

4925 SE 79TH Ave
Portland, OR 97206-4215

Phone

(971) 221-1749

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1285944884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 SE 79TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064215",
            "telephone_number": "971-221-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SE 79TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064215",
            "telephone_number": "971-221-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gus Daniel Warren
• Jacob Aaron Warren
• Jamie Breanne Warren, M.D.
• Jenner Warren
• Jennifer Warren
• Malissa May Warren, R.D.
• Margaret Koch Warren, PHD
• Michaela Warren
• Phineas Warren
• Rachel Karen Warren, M.D.

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.