Active NPI
Jan Snyder Alexander, LCSW
- Clinical Social Worker
- Portland, OR
National Provider Identifier
1497733596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5192
- Practice address
- 1210 SE Oak St
Suite 5
Portland, OR 97214-1427 - Phone
- (503) 804-1627
- NPI assigned
- Jan 9, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5192 | OR | Primary |
Addresses
Primary practice location
1210 SE Oak St
Suite 5
Portland, OR 97214-1427
Mailing address
28 SE 28TH Avenue
Condo 202
Portland, OR 97214
Phone (503) 804-1627
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130109000457 | OR | Practitioner - Clinical Social Worker | 0446403091 | Practice locations: Portland, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5192 | OR | MD | Clinical Social Worker |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
28 SE 28TH Ave
Unit 202
Portland, OR 97214-1859
Phone (503) 804-1627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479600000000",
"number": "1497733596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 SE 28TH AVENUE",
"address_2": "CONDO 202",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "503-804-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 SE OAK ST",
"address_2": "SUITE 5",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141427",
"telephone_number": "503-804-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JAN",
"middle_name": "SNYDER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2016-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.