Active NPI
Jesse D Calliham, MSW, CADCI
- Clinical Social Worker
- Milwaukie, OR
National Provider Identifier
1649519372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L5976
- Practice address
- 9000 SE McBrod Ave
Milwaukie, OR 97222-7336 - Phone
- (503) 655-8262
- NPI assigned
- Jan 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L5976 | OR | Primary |
Addresses
Primary practice location
9000 SE McBrod Ave
Milwaukie, OR 97222-7336
Mailing address
2051 Kaen Rd
Suite 367
Oregon City, OR 97045-4035
Phone (503) 742-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5976 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1649519372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 KAEN RD",
"address_2": "SUITE 367",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970454035",
"telephone_number": "503-742-5300",
"fax_number": "503-742-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 SE MCBROD AVE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227336",
"telephone_number": "503-655-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLIHAM",
"first_name": "JESSE",
"middle_name": "D",
"credential": "MSW, CADCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-31",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L5976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
- Joseph Caldwell, RPH
- Katy Brownell Caldwell, B.S., M.A.
- Lori Ann Calicott, OTR
- Patricia Alice Calkins, PSYD
- Elizabeth E. Callaghan, MD
- Geraldine Callister, OCCUPATIONAL THERAPI
- Elizabeth Marie Calvetti Garza, OTR L
- Gregory Vansantvoord Camp, MD
- Amber Lerene Campbell, LMT
- Anu Campbell, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.