Jean Kathryn Shirkoff, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1314 Issued in OR

Practice address

1942 NW Kearney St Ste 12
Portland, OR 97209-1463

Phone

(503) 222-1807

Fax

(503) 297-0885

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

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 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699830125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SW DOGWOOD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252033",
            "telephone_number": "503-222-1807",
            "fax_number": "503-297-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 NW KEARNEY ST STE 12",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091463",
            "telephone_number": "503-222-1807",
            "fax_number": "503-297-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRKOFF",
        "first_name": "JEAN",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyoko Shirahata, ATC
• Kumiko Shirai, LAC
• Michelle Shirazi, PMHNP
• Siamak F Shirazi, LAC, DOM (CANADA)
• Kylee Shirkey, RN
• Kate Shirley, PHD
• Leah Shirley, LMT
• Edgar Kam Shiroma II
• Avan Shirwani, DO
• Brittney Ashley Shiue

• 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.