Active NPI
Jeanne Louise Ewen, MSW
- Clinical Social Worker
- Clackamas, OR
National Provider Identifier
1366554123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1093
- Practice address
- 10163 SE Sunnyside Rd Ste 490
Clackamas, OR 97015-5720 - Phone
- (503) 513-4411
- Fax
- (503) 513-4424
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1093 | OR | Primary |
Addresses
Primary practice location
10163 SE Sunnyside Rd Ste 490
Clackamas, OR 97015-5720
Mailing address
10163 SE Sunnyside Rd Ste 490
Clackamas, OR 97015-5720
Phone (503) 513-4411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1093 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1366554123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10163 SE SUNNYSIDE RD STE 490",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155720",
"telephone_number": "503-513-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10163 SE SUNNYSIDE RD STE 490",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155720",
"telephone_number": "503-513-4411",
"fax_number": "503-513-4424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWEN",
"first_name": "JEANNE",
"middle_name": "LOUISE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.