Active NPI
Jeniveve Rollins, LCSW
- Clinical Social Worker
- Scio, OR
National Provider Identifier
1881926863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4414
- Practice address
- 44644 Camp Morrison Dr
Scio, OR 97374-9336 - Phone
- (503) 394-4294
- Fax
- (503) 394-7096
- NPI assigned
- Feb 2, 2010
- Last updated
- Feb 2, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4414 | OR | Primary |
Addresses
Primary practice location
44644 Camp Morrison Dr
Scio, OR 97374-9336
Mailing address
PO Box 482
Scio, OR 97374-0482
Phone (503) 394-4294
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 |
|---|---|---|---|
| L4414 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snow Peak Youth Camp, Inc. | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1881926863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 482",
"city": "SCIO",
"state": "OR",
"postal_code": "973740482",
"telephone_number": "503-394-4294",
"fax_number": "503-394-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44644 CAMP MORRISON DR",
"city": "SCIO",
"state": "OR",
"postal_code": "973749336",
"telephone_number": "503-394-4294",
"fax_number": "503-394-7096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "JENIVEVE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scio, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.