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JENSINE PETERSON LCSW
NPI 1427868546
Social Worker - Clinical in Gresham, OR

Active since January 10, 2025PECOS EnrolledAccepts Medicare Assignment
4101 NE DIVISION ST, GRESHAM, OR 97030(503) 666-6575 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jensine Peterson Lcsw NPPES

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

JENSINE PETERSON LCSW (NPI 1427868546) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (L11844) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427868546
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENSINE PETERSONCredential: LCSW
Location Address4101 NE DIVISION STGresham, OR 97030-4617
Mailing Address4730 Se Belmont St Apt 3Portland, OR 97215-1772 · (608) 469-8605
Phone(503) 666-6575
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1427868546 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 · L11844
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.
4101 NE DIVISION ST, Gresham, OR 97030
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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

Jensine Peterson 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 ID3476082264
PECOS Enrollment IDI20250123001331
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 97030 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 20

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

MS. REBECCA LEIGH SHOWER RN, LAC
Registered Nurse (Psychiatric/Mental Health)
4101 NE DIVISION ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808
DEBRA LELM
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575
JUAN ANTONIO VALLEJO JR.
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 729-2152
AMY ROMBERG BA IN FRENCH, MSW
Specialist
4101 NE DIVISION ST, # 100
GRESHAM, OR 97030
Multnomah County (503) 666-3808
RACHEL SEVERSON QMHA
Case Manager/Care Coordinator
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575
JAMES MACLEOD
Social Worker (Clinical)
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (971) 284-1963
LORI JANEEN RICH THW000003028
Peer Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575
TYLER ASHBY
Specialist
4101 NE DIVISION ST
GRESHAM, OR 97030
Multnomah County (503) 666-6575

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 Jensine Peterson's NPI number?

The NPI number for Jensine Peterson is 1427868546. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Jensine Peterson located?

Jensine Peterson practices at 4101 NE Division St, Gresham, OR 97030. The listed phone number is (503) 666-6575.

What is Jensine Peterson's specialty?

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

Is Jensine Peterson enrolled in Medicare?

Yes. Jensine Peterson 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 Jensine Peterson was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.