Active NPI
Jessica Elena Casares, CSWA
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1386528040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A16707
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A16707 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackbird Psychotherapy, LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Eugene, OR
- NPI 1669353579
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.