Individual provider Active NPI

Jeanette Marie Hansen, B.S.

  • Social Worker
  • Albany, OR
National Provider Identifier
1326256173
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L6515 Issued in OR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903002700 OR Practitioner - Clinical Social Worker 2062818784 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
L6515ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Nov 11, 2020 Accepting new patients
Albany General Hospital CurrentSince Aug 18, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Dec 8, 2023 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.

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

Verify at the official NPI Registry.