Active NPI
Jennifer Richards Welton, LCSW
- Clinical Social Worker
- Corvallis, OR
National Provider Identifier
1578080289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L8235
- Practice address
- 260 SW Madison Ave Ste 119-1
Corvallis, OR 97333-4798 - Phone
- (406) 581-5830
- Fax
- (406) 581-5830
- NPI assigned
- Aug 23, 2017
- 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 | L8235 | OR | Primary |
Addresses
Primary practice location
260 SW Madison Ave Ste 119-1
Corvallis, OR 97333-4798
Mailing address
PO Box 1441
Philomath, OR 97370-1441
Phone (406) 581-5830
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8235 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1578080289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1441",
"city": "PHILOMATH",
"state": "OR",
"postal_code": "973701441",
"telephone_number": "406-581-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SW MADISON AVE STE 119-1",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334798",
"telephone_number": "406-581-5830",
"fax_number": "406-581-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTON",
"first_name": "JENNIFER",
"middle_name": "RICHARDS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L8235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.