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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Tree Relief Nursery Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2016.

{
    "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

All providers in Albany, OR · Social Worker in Oregon

Sources for this page

Verify at the official NPI Registry.