Grace Wellness Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GRACE WELLNESS CENTER LLC

Practice address

3000 Market St NE Ste 426
Salem, OR 97301-1894

Phone

(503) 583-3604

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerardo Jimenez, MSWNPI 1073903977

Title

LCSW

Phone

(503) 583-3604

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerardo Jimenez

  • Clinical Social Worker
  • Salem, OR
  • NPI 1073903977
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1508777178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 426",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011894",
            "telephone_number": "503-583-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARKET ST NE STE 426",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011894",
            "telephone_number": "503-583-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 4th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212575",
            "country_code": "US",
            "telephone_number": "503-583-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "503-583-3604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Todd Govro, LPC
• Holli J Gower, N.D.
• Aiden Grabill
• Grace Care Homes Inc.
• Grace Counseling Services, LLC
• Graceful Aging Home Care LLC; Dba Nurse Next Door Salem (Nurse Next Door Salem)
• Gracie's Adult Care Home LLC
• Alexandra Graddy
• Matthew Edward Grady, LCSW CADC III
• Stephen Joseph Grady

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.