Ms Jennifer Marie Wells, LCSW is a
Social Worker - Clinical based in Salem, Oregon. Ms Jennifer Marie Wells is licensed to practice in Oregon (license number L8286) and her current practice location is
200 Hawthorne Ave Se, Salem, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 599-0793.
NPI number for Ms Jennifer Marie Wells is 1104232586 and her current mailing address is 1598 Alder Dr Ne, Keizer, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104232586.
Healthcare Provider's Profile
| Full Name | Ms Jennifer Marie Wells |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 200 Hawthorne Ave Se, Salem, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104232586
- Provider Enumeration Date: 07/07/2014
- Last Update Date: 05/28/2022
Medical Identifiers
Medical identifiers for Ms Jennifer Marie Wells such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104232586 | NPI | - | NPPES |
| 1104232586 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L8286 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Marie Wells is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jennifer Marie Wells, LCSW
1598 Alder Dr Ne,
Keizer, OR 97303-4018
Ph: (971) 599-0793 | Ms Jennifer Marie Wells, LCSW
200 Hawthorne Ave Se,
Salem, OR 97301-5860
Ph: (971) 599-0793 |
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