Individual provider Active NPI

Jennifer Malenda, LCSW

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1639680580
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L15711 Issued in OR
Practice address
8555 SW Apple Way Ste 320
Portland, OR 97225-1775
Phone
(877) 840-6956
NPI assigned
Oct 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111762 TX
Clinical Social Worker 1041C0700X L15711 OR Primary

Addresses

Primary practice location

8555 SW Apple Way Ste 320
Portland, OR 97225-1775

Mailing address

1695 Ludington Ave
Wesley Chapel, FL 33543-7606
Phone (813) 838-8510

Other practice location 1

108 Hemingway Ct
Royal Palm Beach, FL 33411-1504
Phone (919) 769-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211117003354 FL Practitioner - Clinical Social Worker 4385033026
I20240228000676 TX Practitioner - Clinical Social Worker 4385033026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokyahealth Medical Group PCGroup PAC ID 9739575648, 68 clinicians

Practice addresses (Care Compare)

4201 W Parmer LN
Suite B225
Austin, TX 78727-4160
Phone (877) 840-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L15711ORMDClinical Social Worker
111762TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Headlight Health Medical Group PLLC Mental Health CurrentSince Mar 10, 2026 Accepting new patients
Sokyahealth Medical Group PC Mental Health CurrentSince Oct 1, 2024 Accepting new patients

Locations

8555 SW Apple Way
Ste 320
Portland, OR 97225
Phone (503) 298-4592

4201 W Parmer Ln
Ste B225
Austin, TX 78727

Interoperability endpoints

  • Direct secure messaging: jennifer.malenda.p1@direct.sokya.nextgenshare.com

Organizations & group practices 2

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": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1639680580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 LUDINGTON AVE",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437606",
            "telephone_number": "813-838-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 SW APPLE WAY STE 320",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251775",
            "telephone_number": "877-840-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Hemingway Ct",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334111504",
            "country_code": "US",
            "telephone_number": "919-769-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALENDA",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "111762",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.