Active NPI
Shaelyn Mae Jenkins, LCSW, MSW
- Clinical Social Worker
- Hillsboro, OR
National Provider Identifier
1942863428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81549
- Practice address
- 4950 NE Belknap CT Ste 205
Hillsboro, OR 97124-5115 - Phone
- (503) 560-5822
- Fax
- (888) 503-2864
- NPI assigned
- Apr 19, 2019
- 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 | 81549 | CA | Primary |
Addresses
Primary practice location
4950 NE Belknap CT Ste 205
Hillsboro, OR 97124-5115
Mailing address
PO Box 7051
Beaverton, OR 97007-7051
Phone (503) 560-5822
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 |
|---|---|---|---|
| 81549 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firefly Institute | Past | Accepting new patients | |
| Best Me Psychotherapy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hillsboro, OR
- NPI 1326482563
-
- Clinical Psychologist
- Culver City, CA
- NPI 1720403512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1942863428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7051",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970077051",
"telephone_number": "503-560-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 NE BELKNAP CT STE 205",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245115",
"telephone_number": "503-560-5822",
"fax_number": "888-503-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "SHAELYN",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "LCSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.