Julie Jorgensen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LL3315 Issued in OR

Practice address

7929 SW 37TH Ave Ste D
Portland, OR 97219-3663

Phone

(503) 577-3621

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1649580739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 SW ILLINOIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212848",
            "telephone_number": "503-577-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 SW 37TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193663",
            "telephone_number": "503-577-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JULIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "LL3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Janara Jordan
• Simone Jordan
• Skye Jordan
• Teresa M. Jordan
• Jordi X Kellogg MD PC
• Kellen Jorgensen
• Kendall Cathleen Jorgensen, LCSW
• Nicholas Boyd Jorgensen, MD
• Joro Adult Foster Care Home LLC
• Jory Counseling Center LLC

• Clinical Social Worker in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.