Melissa Carter Janssen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3498 Issued in OR

Practice address

8835 SW Canyon LN Ste 234
Portland, OR 97225-3438

Phone

(503) 475-6370

Fax

(971) 244-7288

NPI assigned

Sep 11, 2012

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1619227329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 SW WILLOW LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252810",
            "telephone_number": "503-475-6370",
            "fax_number": "971-244-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 SW CANYON LN STE 234",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253438",
            "telephone_number": "503-475-6370",
            "fax_number": "971-244-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "MELISSA",
        "middle_name": "CARTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60284146",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Jansen, LMT
• Teresa Frances Jansen
• Victoria Eugenie Jansen, RD
• Joel Janson, LMT
• Jed Janssen
• Natalie Denise Janssen
• Adriana C Janta, RN
• Jantzen Beach Modern Dentistry, PC (Jantzen Beach Modern Dentistry)
• Janus Youth Program
• Janus Youth Programs

• Clinical Social Worker in Portland, OR
• Providers in Portland, 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 Feb 17, 2020; 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.