JENNIFER M BRINKMAN LCSW
NPI 1053968578
Social Worker - Clinical in Portland, OR

Q: What is Jennifer Brinkman's NPI number?

The NPI number for Jennifer Brinkman is 1053968578. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Jennifer Brinkman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Brinkman was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment

9155 SW BARNES RD STE 333, PORTLAND, OR 97225(503) 216-5102 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2019, Aug 20, 2019 (2 updates tracked since 2019).

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About Jennifer M Brinkman Lcsw NPPES

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

JENNIFER M BRINKMAN LCSW (NPI 1053968578) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L7995) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053968578

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER M BRINKMANCredential: LCSW

Location Address9155 SW BARNES RD STE 333Portland, OR 97225-6630

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-5102

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 20, 2019

Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration

✔ NPI 1053968578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L7995

Definition

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.

9155 SW BARNES RD STE 333, Portland, OR 97225

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Secondary Practice Location 1

Location 19205 SW Barnes RdPortland, OR 97225-6603 · Phone (503) 574-9235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer M Brinkman Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274966270

PECOS Enrollment IDI20191205000998

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.99 – $176.88

Typical copayment $0.00 (range $14.74 – $44.22)

Most-billed visit code NA

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

MARK S FETTMAN MD

Psychiatry & Neurology (Psychiatry)