Individual provider Active NPI

Jennifer Lynn Rowton, LCSW

  • Clinical Social Worker
  • Bend, OR
National Provider Identifier
1629333869
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L7173 Issued in OR
Practice address
376 SW Bluff Dr Ste 5
Bend, OR 97702-1399
Phone
(541) 887-0320
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 079526-1 NY
Clinical Social Worker 1041C0700X 082229 NY
Clinical Social Worker 1041C0700X L7173 OR Primary

Addresses

Primary practice location

376 SW Bluff Dr Ste 5
Bend, OR 97702-1399

Mailing address

376 SW Bluff Dr Ste 5
Bend, OR 97702-1399
Phone (541) 887-0320

Other practice location 1

15 SW Colorado Ave Ste 220
Bend, OR 97702-1635
Phone (541) 390-7288

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810000925 OR Practitioner - Clinical Social Worker 3779854690 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079526-1NYMDSocial Worker
082229NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes County Oregon CurrentSince Jul 1, 2017 Accepting new patients
Elevate Therapy Associates Inc Current Accepting new patients
Deschutes County Oregon CurrentSince Jul 1, 2017 Accepting new patients

Locations

1128 NW Harriman St
Bend, OR 97703
Phone (541) 322-7457

376 SW Bluff Dr
Ste 5
Bend, OR 97702
Phone (458) 281-0413

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1629333869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 SW BLUFF DR STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021399",
            "telephone_number": "541-887-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 SW BLUFF DR STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021399",
            "telephone_number": "541-887-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 SW Colorado Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021635",
            "country_code": "US",
            "telephone_number": "541-390-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWTON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079526-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.