Jennifer Cork, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L13053 Issued in OR

Practice address

5285 Meadows Rd Ste 170
Lake Oswego, OR 97035-3478

Phone

(503) 726-5216

Fax

(503) 726-5218

NPI assigned

Oct 10, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Acceptance Mental Health, LLC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1659058832
  NPD Authorized official
• Sapphire Blue Behavioral Health Solutions

  • Mental Health Counselor
  • Lake Oswego, OR
  • NPI 1558839068

  Clinical

  NPD

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1982008579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EAGLE VIEW DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044253",
            "telephone_number": "208-301-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 MEADOWS RD STE 170",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353478",
            "telephone_number": "503-726-5216",
            "fax_number": "503-726-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORK",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-36286",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Cope, MSW
• Lauren Elizabeth Corder, M.A.
• Core Abilities Behavior Services, LLC
• Corey Vande Zandschulp MD PC
• David Michael Corey, PH.D., ABPP
• Megan Christine Cormier Castaneda, PSYD
• Danielle Cornelius, D.C.
• Lorreine Corotan
• James E. Corstorphine, DC
• Austin Cory

• 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 Sep 9, 2022; 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.