Individual provider Active NPI

Daniel Jansen

  • Clinical Social Worker
  • Medford, OR
National Provider Identifier
1982729539
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11113 Issued in OR
Practice address
1012 E Jackson St
Medford, OR 97504-7027
Phone
(541) 708-3721
NPI assigned
Mar 20, 2007
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L11113 OR Primary

Addresses

Primary practice location

1012 E Jackson St
Medford, OR 97504-7027

Mailing address

469 Elm St
Phoenix, OR 97535-7731
Phone (541) 951-3245

Other practice location 1

469 Elm St
Phoenix, OR 97535-7731
Phone (541) 708-3721

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

LicenseStateTypeSpecialty
L11113ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shared Strength LLC Clinical Current Accepting new patients
La Clinica del Valle Family Health Care Center 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, 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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1982729539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 ELM ST",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975357731",
            "telephone_number": "541-951-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047027",
            "telephone_number": "541-708-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "469 Elm St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "OR",
            "postal_code": "975357731",
            "country_code": "US",
            "telephone_number": "541-708-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.