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Jennifer D. Worth , QMHA

Case Manager/Care Coordinator β€’ Salem, OR

Active NPI 1699896456 Individual Practitioner Female Practitioner
Practice location in NPPES

1011 Commercial St Ne Ste 101210
Salem, OR 973011049

Call 5039839900 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1011 Commercial St Ne Ste 101210

Salem, OR 973011049

Telephone 5039839900
Fax 5039637711

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Salem and Oregon

365 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Salem, OR (4,193 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Salem

0% of these 365 clinicians have the CMS telehealth indicator.

0% of these 365 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-20
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OR T-22-1501
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Danica Clark , MD

Internal Medicine

NPI 1972792992

Doctor of Medicine (M.D.)

Dr. Manya Helman , MD

Family Medicine - Addiction Medicine

NPI 1386784544

Doctor of Medicine (M.D.)

Laura Michielsen , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1518424787

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Michelle Pies , DO

Family Medicine

NPI 1700224516

Doctor of Osteopathic Medicine (D.O.)

Jeffrey Renna , PA-C

Physician Assistant - Medical

NPI 1447432190

Physician Assistant (Certified)

Alex Shaffer , PA-C

Physician Assistant

NPI 1740761519

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 20, 2022

Registered at 1011 COMMERCIAL ST NE STE 101210, SALEM, OR 973011049 (Tel: 5039839900)

πŸ“
Updated Business Mailing Address April 20, 2022

Registered at 1011 COMMERCIAL ST NE STE 110, SALEM, OR 973011036 (Tel: 5039839900)

πŸ‘€
Provider Name / Credentials Updated April 20, 2022

Recorded as JENNIFER WORTH, QMHA

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 2130 SW 5TH AVE, 210, PORTLAND, OR 972014976 (Tel: 5032380769)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 4309 NE JARRETT ST, PORTLAND, OR 972181435 (Tel: 9712351293)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JENNIFER ALLEN, QMHA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699896456
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: April 20, 2022
Sole Proprietor: No

Mailing Address

1011 Commercial St Ne Ste 110

Salem, OR 973011036

Phone: 5039839900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.