Active NPI
Jennifer Malenda, LCSW
- Clinical Social Worker
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L15711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| L15711 | OR | MD | Clinical Social Worker |
| 111762 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headlight Health Medical Group PLLC | Mental Health | Current | Accepting new patients |
| Sokyahealth Medical Group PC | Mental Health | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.