Active NPI
Jessica Lynn Garbutt-Burden, LCSW
- Clinical Social Worker
- Milwaukie, OR
National Provider Identifier
1386924868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L16169
- Practice address
- 6901 SE Lake Rd Ste 27
Milwaukie, OR 97267-2195 - Phone
- (503) 502-0554
- NPI assigned
- Aug 28, 2011
- 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 | |||
| Clinical Social Worker | 1041C0700X | L16169 | OR | Primary |
Addresses
Primary practice location
6901 SE Lake Rd Ste 27
Milwaukie, OR 97267-2195
Mailing address
4922 SE Flavel Dr
Portland, OR 97206-9134
Phone (503) 208-3191
Other names 1
- Ms. Jessica Lynn Garbutt
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L16169 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Clinical | Current | Accepting new patients |
| Orchid Oakridge Clinic, P.C. | Past | Accepting new patients |
Locations
5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Oakridge, OR
- NPI 1588088983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1386924868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 SE FLAVEL DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972069134",
"telephone_number": "503-208-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 SE LAKE RD STE 27",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972672195",
"telephone_number": "503-502-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBUTT-BURDEN",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-28",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L16169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GARBUTT",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.