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Kimberley Jennifer Jackson

Social Worker • Salem, OR

Active NPI 1275677148 Individual Practitioner Female Practitioner
Practice location in NPPES

3180 Center St Ne
Salem, OR 973014532

Call 5035885351 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

3180 Center St Ne

Salem, OR 973014532

Telephone 5035885351
Organization at the Same NPPES Address or Phone
Marion County Facility NPI 1851449722

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

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, “Does 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

85 active clinicians are listed under Social Worker with a practice address in Salem, OR (2,104 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Salem

0% of these 85 clinicians have the CMS telehealth indicator.

2.4% of these 85 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Case Manager/Care Coordinator

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.

Rehabilitation Counselor

NUCC Taxonomy Code: 225C00000X

An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.

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
Bethany Jensen , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124620117

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Nathaniel Kravitz , RN, MN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053543066

Registered Nurse, MN, Psychiatric-Mental Health Nurse Practitioner

Lori Linton Nelson , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1336297985

Psychiatric-Mental Health Nurse Practitioner

Matthew Piehler , PMHNP-BC, MSN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023629136

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Master of Science in Nursing

Leah Rhoads , LCSW

Counselor - Mental Health

NPI 1154753994

Licensed Clinical Social Worker

Edna Roberts Tucker , LCSW

Social Worker - Clinical

NPI 1881758811

Licensed Clinical Social Worker

Career & Practice History

NPI enumerated February 16, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1275677148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: August 20, 2009
Sole Proprietor: No

Mailing Address

12200 Sw Horizon Blvd, #208

Beaverton, OR 970079329

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.