MR. JACK OPGENORTH L.C.S.W.
NPI 1376679969
Social Worker - Clinical in Medford, OR

Active since February 26, 2007
1744 E MCANDREWS RD, SUITE B, MEDFORD, OR 97504(541) 776-0821(541) 776-5011 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Opgenorth L.c.s.w. NPPES

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

MR. JACK OPGENORTH L.C.S.W. (NPI 1376679969) is an individual clinical provider in Medford, Oregon, licensed in Oregon (L2954) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1376679969
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACK OPGENORTHCredential: L.C.S.W.
Location Address1744 E MCANDREWS RD, SUITE BMedford, OR 97504
Mailing Address1744 E Mcandrews Rd, Suite BMedford, OR 97504 · (541) 776-0821 · Fax (541) 776-5011
Fax(541) 776-5011
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateFebruary 11, 2016
NPI 1376679969 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 · L2954
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.
1744 E MCANDREWS RD, Medford, OR 97504

Other Identifiers 1

OtherL2954OR · License Number

Other Providers at the Same Location NPPES 8

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

Chiropractor
1744 E MCANDREWS RD, STE. A
MEDFORD, OR 97504
Chiropractor
1744 E MCANDREWS RD, SUITE A
MEDFORD, OR 97504
Chiropractor
1744 E MCANDREWS RD, A
MEDFORD, OR 97504
Nurse Practitioner (Psychiatric/Mental Health)
1744 E MCANDREWS RD, SUITE B
MEDFORD, OR 97504
Social Worker (Clinical)
1744 E MCANDREWS RD, SUITE B
MEDFORD, OR 97504
Psychiatry & Neurology (Psychiatry)
1744 E MCANDREWS RD, SUITE B
MEDFORD, OR 97504
Chiropractor
1744 E MCANDREWS RD, SUITE A
MEDFORD, OR 97504
Social Worker (Clinical)
1744 E MCANDREWS RD, SUITE B
MEDFORD, OR 97504

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 Jack Opgenorth's NPI number?

The NPI number for Jack Opgenorth is 1376679969. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Jack Opgenorth located?

Jack Opgenorth practices at 1744 E Mcandrews Rd Suite B, Medford, OR 97504. The listed phone number is (541) 776-0821.

What is Jack Opgenorth's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Opgenorth was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.