Active NPI
Jessica M Glover, LCSW, LICSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1295007243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5148
- Practice address
- 5441 S Macadam Ave Ste 5545
Portland, OR 97239-6106 - Phone
- (503) 406-8384
- NPI assigned
- Feb 7, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5148 | OR | Primary |
| Clinical Social Worker | 1041C0700X | SWI.LW.61366729 | WA |
Addresses
Primary practice location
5441 S Macadam Ave Ste 5545
Portland, OR 97239-6106
Mailing address
5441 S Macadam Ave Ste 5545
Portland, OR 97239-6106
Phone (503) 406-8384
Other practice location 1
111 SW 5th Ave Ste 3150
Portland, OR 97204-3656
Phone (866) 280-0260
Other practice location 2
450 Alaskan Way S Ste 200
Seattle, WA 98104-2785
Phone (866) 277-9071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 096511 | Medicaid | OR | |
| 022959 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1295007243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE 5545",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "503-406-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE STE 5545",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "503-406-8384"
}
],
"practiceLocations": [
{
"address_1": "111 SW 5th Ave Ste 3150",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972043656",
"country_code": "US",
"telephone_number": "866-280-0260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Alaskan Way S Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042785",
"country_code": "US",
"telephone_number": "866-277-9071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOVER",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5148",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SWI.LW.61366729",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096511",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022959",
"state": "OR"
}
],
"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 Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.