Individual provider Active NPI

Jessica Elena Casares, CSWA

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1386528040
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A16707 Issued in OR
Practice address
2295 Coburg Rd Ste 201
Eugene, OR 97401-7489
Phone
(541) 331-0342
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X A16707 OR Primary

Addresses

Primary practice location

2295 Coburg Rd Ste 201
Eugene, OR 97401-7489

Mailing address

2295 Coburg Rd Ste 201
Eugene, OR 97401-7489
Phone (541) 331-0342

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL TherapyNotes Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A16707ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blackbird Psychotherapy, LLC Clinical CurrentSince Sep 14, 2025 Accepting new patients

Locations

2295 Coburg Rd
Ste 201
Eugene, OR 97401
Phone (541) 331-0342

Organizations & group practices 1

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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1386528040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 COBURG RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017489",
            "telephone_number": "541-331-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 COBURG RD STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017489",
            "telephone_number": "541-331-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASARES",
        "first_name": "JESSICA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A16707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2295 Coburg Rd Ste 201",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974017489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.