JENNIFER SIMONE BEAUDOIN CSWA
NPI 1104692987
Social Worker - Clinical in Portland, OR

Active since December 01, 2023PECOS EnrolledAccepts Medicare Assignment
7820 NE HOLMAN ST STE B5, PORTLAND, OR 97218(503) 258-4554 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Simone Beaudoin Cswa NPPES

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

JENNIFER SIMONE BEAUDOIN CSWA (NPI 1104692987) is an individual clinical provider in Portland, Oregon, licensed in Oregon (A11586) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104692987
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER SIMONE BEAUDOINCredential: CSWA
Location Address7820 NE HOLMAN ST STE B5Portland, OR 97218-2859
Mailing Address7820 Ne Holman St Ste B5Portland, OR 97218-2859 · (503) 258-4554
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
NPI 1104692987 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 · A11586
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.

7820 NE HOLMAN ST STE B5, Portland, OR 97218

Other Names 1

Former Name (1)Jennifer Simone Lawrence

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 Simone Beaudoin Cswa 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 ID9335611094
PECOS Enrollment IDI20260612003143
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 97218 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

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

Case Manager/Care Coordinator
7820 NE HOLMAN ST STE B5
PORTLAND, OR 97218

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 Jennifer Beaudoin's NPI number?

The NPI number for Jennifer Beaudoin is 1104692987. It was assigned to this individual provider in the NPPES registry on December 1, 2023. The provider is also known as Jennifer Simone Lawrence.

Where is Jennifer Beaudoin located?

Jennifer Beaudoin practices at 7820 NE Holman St Ste B5, Portland, OR 97218. The listed phone number is (503) 258-4554.

What is Jennifer Beaudoin's specialty?

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

Is Jennifer Beaudoin enrolled in Medicare?

Yes. Jennifer Beaudoin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Beaudoin was last updated on December 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.