Active NPI
Amanda Jaime Nelson, MSW
- Social Worker
- Hillsboro, OR
National Provider Identifier
1295384840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 10690 NE Cornell Rd Ste 215
Hillsboro, OR 97124-9224 - Phone
- (503) 216-5240
- NPI assigned
- Sep 6, 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
10690 NE Cornell Rd Ste 215
Hillsboro, OR 97124-9224
Mailing address
4442 SE Nehalem St
Portland, OR 97206-0952
Phone (971) 404-5171
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
923 NW 14TH Ave
Portland, OR 97209-2704
Phone (503) 972-0235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicops, LLC | Current | Accepting new patients | |
| Clinicops LLC | Past | Accepting new patients |
Locations
3 River Ave
Eugene, OR 97404
2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800
923 NW 14th Ave
Portland, OR 97209
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": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1295384840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4442 SE NEHALEM ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972060952",
"telephone_number": "971-404-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10690 NE CORNELL RD STE 215",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249224",
"telephone_number": "503-216-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "AMANDA",
"middle_name": "JAIME",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.