Active NPI
Jeanette Marie Hansen, B.S.
- Social Worker
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L6515
- Practice address
- 631 Elm St SW Ste 200&205
Albany, OR 97321-1952 - Phone
- (541) 812-5020
- NPI assigned
- May 17, 2007
- Last updated
- Aug 12, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Social Worker | 104100000X | L6515 | OR | Primary |
Addresses
Primary practice location
631 Elm St SW Ste 200&205
Albany, OR 97321-1952
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
2350 NW Professional Dr
Corvallis, OR 97330-3881
Phone (541) 757-9616
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhansen23334@samhealth.direct-ci.com |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6515 | OR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany General Hospital | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Lumina Hospice and Palliative Care | Past | Accepting new patients |
Locations
631 Elm St SW
Ste 200205
Albany, OR 97321
Phone (541) 812-5020
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
Organizations & group practices 6
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.
-
dba Samaritan Albany General Hospital
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
dba Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
dba Samaritan Breast Surgical Specialists
- Surgery Physician
- Albany, OR
- NPI 1467718627
-
dba Samaritan Palliative Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Albany, OR
- NPI 1700280674
-
dba Samaritan Mental Health - Corvallis
- Psychiatry Physician
- Corvallis, OR
- NPI 1730455577
-
- Community Based Hospice Care Agency
- Corvallis, OR
- NPI 1164429817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1326256173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 ELM ST SW STE 200&205",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211952",
"telephone_number": "541-812-5020"
}
],
"practiceLocations": [
{
"address_1": "2350 NW Professional Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303881",
"country_code": "US",
"telephone_number": "541-757-9616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "JEANETTE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L6515",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhansen23334@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "631 Elm St SW Ste 200&205",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.