Active NPI
Jennifer Rushing, LCSW
- Clinical Social Worker
- Albany, OR
National Provider Identifier
1982943411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- M5689
- Practice address
- 4600 Evergreen Place SE
Albany, OR 97322 - Phone
- (541) 812-4661
- Fax
- (541) 812-4660
- NPI assigned
- Feb 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M5689 | OR | Primary |
| Clinical Social Worker | 1041C0700X | LMSW-29230 | ID |
Addresses
Primary practice location
4600 Evergreen Place SE
Albany, OR 97322
Mailing address
4600 Evergreen Place SE
Albany, OR 97322
Phone (541) 812-4661
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 |
|---|---|---|---|
| LMSW-29230 | ID | MD | Clinical Social Worker |
| M5689 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1982943411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 EVERGREEN PLACE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "97322",
"telephone_number": "541-812-4661",
"fax_number": "541-812-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 EVERGREEN PLACE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "97322",
"telephone_number": "541-812-4661",
"fax_number": "541-812-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSHING",
"first_name": "JENNIFER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "M5689",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LMSW-29230",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.