Active NPI
Jennifer Ornelas, LCSW
- Social Worker
- Kennewick, WA
National Provider Identifier
1801423454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW61485643
- Practice address
- 9040 W Clearwater Ave
Kennewick, WA 99336-8635 - Phone
- (509) 942-3291
- Fax
- (509) 783-6827
- NPI assigned
- Mar 24, 2020
- 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 | 95674 | CA | |
| Social Worker | 104100000X | LW61485643 | WA | Primary |
Addresses
Primary practice location
9040 W Clearwater Ave
Kennewick, WA 99336-8635
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 473-0637
Other practice location 1
732 Mott St
San Fernando, CA 91340-4237
Phone (818) 963-5690
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 |
|---|---|---|---|
| LW61485643 | WA | MD | Social Worker |
| 95674 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Fernando Community Health Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFDBCA
Organizations & group practices 1
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.
-
- Clinic/Center
- San Fernando, CA
- NPI 1093151821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1801423454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-473-0637",
"fax_number": "509-627-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368635",
"telephone_number": "509-942-3291",
"fax_number": "509-783-6827"
}
],
"practiceLocations": [
{
"address_1": "732 Mott St",
"address_purpose": "LOCATION",
"city": "San Fernando",
"state": "CA",
"postal_code": "913404237",
"country_code": "US",
"telephone_number": "818-963-5690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORNELAS",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95674",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW61485643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.