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Jennifer Bourassa , MSW

Social Worker - Clinical β€’ Springfield, OR

Active NPI 1477964773 Individual Practitioner Female Practitioner
Practice location in NPPES

3995 Marcola Rd
Springfield, OR 974777948

Call 5417261465 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

3995 Marcola Rd

Springfield, OR 974777948

Telephone 5417261465
Organization at the Same NPPES Address or Phone
Mental Health For Children, Inc Facility NPI 1053343558

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

NPI first issued

2014

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 Springfield and Oregon

43 active clinicians are listed under Social Worker - Clinical with a practice address in Springfield, OR (5,017 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

7% of these 43 clinicians have the CMS telehealth indicator.

20.9% of these 43 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

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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.

2 listed
Dr. Alicia Berger , CRNP DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891153912

CRNPDNP

Jason Smith , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1629131305

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location May 06, 2019

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

πŸ“
Updated Business Mailing Address May 06, 2019

Registered at 3995 MARCOLA RD, SPRINGFIELD, OR 974777948 (Tel: 5417261465)

πŸ‘€
Provider Name / Credentials Updated May 06, 2019

Recorded as JENNIFER BOURASSA, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2019

Social Worker

βœ…
NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 08, 2014

Registered at 11202 SW 189TH LN, MIAMI, FL 331577578 (Tel: 7864865652)

πŸ“
Business Mailing Address (Initial Record) May 08, 2014

Registered at 10360 SW 186TH ST UNIT 970932, MIAMI, FL 331975043 (Tel: 7864865652)

πŸ‘€
Provider Name / Credentials (Initial Record) May 08, 2014

Recorded as JENNIFER MALDONADO, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Social Worker

🟒
Initial NPI Registration & Enumeration May 08, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477964773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2014
Last Update: May 06, 2019
Sole Proprietor: Yes

Other Social Worker - Clinicals in Springfield

Healthcare providers in Springfield

Mailing Address

3995 Marcola Rd

Springfield, OR 974777948

Phone: 5417261465

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.