Jean Maria Pelosi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0527 Issued in OR

Practice address

4550 Kruse Way
Suite 225
Lake Oswego, OR 97035-3594

Phone

(503) 697-0600

Fax

(503) 635-0583

NPI assigned

Aug 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ricks Warren PH.D., Abpp, PC

  • Clinical Psychologist
  • Lake Oswego, OR
  • NPI 1205023645
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831204767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY",
            "address_2": "SUITE 225",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353594",
            "telephone_number": "503-697-0600",
            "fax_number": "503-635-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY",
            "address_2": "SUITE 225",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353594",
            "telephone_number": "503-697-0600",
            "fax_number": "503-635-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSI",
        "first_name": "JEAN",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "0527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Rose Payne, DPT
• Peacehealth Networks on Demand, LLC (ZoomCare-Lake Oswego)
• Haley Pearson
• Holly Hamilton Peartree, SLP
• Maxine Pellot
• Debra Penland, L.AC., DIPL O.M.
• Mihaela Pepel, MD, ND
• Arianna Perez
• Sarah Perine
• Anne Elizabeth Pernichele, DC

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.