Active NPI
Jennifer Drenner, LCSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1811458524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4731
- Practice address
- 1601 E 4TH Plain Blvd
Mail Code: V3Cnh
Vancouver, WA 98661 - Phone
- (360) 409-3525
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | L4731 | OR | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd
Mail Code: V3Cnh
Vancouver, WA 98661
Mailing address
4452 SE Topaz Drive
Troutdale, OR 97060
Phone (360) 409-3525
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4731 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1811458524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4452 SE TOPAZ DRIVE",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "97060",
"telephone_number": "360-409-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"address_2": "MAIL CODE: V3CNH",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98661",
"telephone_number": "360-409-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRENNER",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.