Jensine Peterson, LCSW
NPI 1427868546ActiveIndividual· Social Worker, Clinical· Gresham, OR
Social Worker, Clinical (LCSW) with Telecare Mental Health Services of Oregon, Inc., practicing in Gresham, Oregon. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1427868546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jan 10, 2025 |
| Last updated in NPPES | Jan 10, 2025 |
| Certified by provider | Jan 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | L11844 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OR) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Telecare Mental Health Services of Oregon, Inc.Bend, OR · 4 clinicians
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All 79 clinical social workers in Gresham · All clinical social workers in Oregon