Jennifer Jorgens
Individual provider Active NPI Social Worker · Albany, OR
NPI 1639614928 · NPPES record last updated Dec 22, 2016
Key facts
- NPI
- 1639614928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1005 NW Springhill Dr
Albany, OR 97321-1748 - Phone
- (541) 967-6580
- NPI assigned
- Dec 22, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Tree Relief Nursery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
1005 NW Springhill Dr
Albany, OR 97321-1748
Mailing address
1005 NW Springhill Dr
Albany, OR 97321-1748
Phone (541) 967-6580
NPI Registry JSON
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1639614928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 NW SPRINGHILL DR",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211748",
"telephone_number": "541-967-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 NW SPRINGHILL DR",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211748",
"telephone_number": "541-967-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-22",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.