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JACOB RUSSELL MOSS
NPI 1053621912
Social Worker in Portland, OR

Active since October 13, 2010
12636 SE STARK ST, PLAZA 125, BLDG J, PORTLAND, OR 97233(503) 253-4600(503) 253-4609 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Russell Moss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB RUSSELL MOSS (NPI 1053621912) is an individual social worker in Portland, Oregon and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1053621912
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJACOB RUSSELL MOSS
Location Address12636 SE STARK ST, PLAZA 125, BLDG JPortland, OR 97233-1058
Mailing AddressPo Box 82819Portland, OR 97282-0819 · (801) 233-5405
Phone(503) 253-4600
Fax(503) 253-4609
Sole ProprietorNo
Enumeration DateOctober 13, 2010
Last NPPES UpdateJuly 24, 2014
✔ NPI 1053621912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
12636 SE STARK ST, Portland, OR 97233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILENE JULIA SCHECHTER
Psychologist (Clinical)
12636 SE STARK ST, BUILDING J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
GARY S MORAN LPC
Counselor (Professional)
12636 SE STARK ST, PLAZA 125, BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
MISTY MCARTHUR HOMLITAS MS
Counselor (Mental Health)
12636 SE STARK ST, PLAZA 125, BUILDING J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
MRS. MARCIA LEE BENEDICT GRASSMUECK LPC
Counselor (Professional)
12636 SE STARK ST, PLAZA 125, BLDG. J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
PATRICIA A BYRNE M.A.,LPC
Counselor (Professional)
12636 SE STARK ST, PLAZA 125 BLDG J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
ALISON GRECO MS
Counselor (Mental Health)
12636 SE STARK ST, BUILDING J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
RACHEL YARGER M.S.
Counselor (Mental Health)
12636 SE STARK ST, PLAZA 125, BUILDING J
PORTLAND, OR 97233
Multnomah County (503) 253-4600
KERRI PERISICH M.A.
Counselor
12636 SE STARK ST, PLAZA 125, BUILDING J
PORTLAND, OR 97233
Multnomah County (503) 253-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Moss's NPI number?

The NPI number for Jacob Moss is 1053621912. It was assigned to this individual provider in the NPPES registry on October 13, 2010.

Where is Jacob Moss located?

Jacob Moss practices at 12636 SE Stark St Plaza 125, Bldg J, Portland, OR 97233. The listed phone number is (503) 253-4600.

What is Jacob Moss's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

What insurance does Jacob Moss accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacob Moss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Moss was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.