Active NPI
Jessilyn Leigh Barron, MSW, LCSW
- Social Worker
- Beaverton, OR
National Provider Identifier
1396980413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L3845
- Practice address
- 12250 SW 2ND St
Suite 106
Beaverton, OR 97005-2828 - Phone
- (503) 526-1715
- Fax
- (503) 526-1752
- NPI assigned
- Dec 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L3845 | OR | Primary |
Addresses
Primary practice location
12250 SW 2ND St
Suite 106
Beaverton, OR 97005-2828
Mailing address
12250 SW 2ND St
Suite 106
Beaverton, OR 97005-2828
Phone (503) 526-1715
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 |
|---|---|---|---|
| L3845 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1396980413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12250 SW 2ND ST",
"address_2": "SUITE 106",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052828",
"telephone_number": "503-526-1715",
"fax_number": "503-526-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12250 SW 2ND ST",
"address_2": "SUITE 106",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052828",
"telephone_number": "503-526-1715",
"fax_number": "503-526-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRON",
"first_name": "JESSILYN",
"middle_name": "LEIGH",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L3845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.