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VICTOR BOOMER-JENKS LCSW; LICSW;
NPI 1760891014
Social Worker - Clinical in Portland, OR

Active since August 11, 2014PECOS Enrolled
10373 NE HANCOCK ST, PORTLAND, OR 97220(503) 253-6754 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2024, Dec 22, 2021 (2 updates tracked since 2021).

About Victor Boomer-jenks Lcsw; Licsw; NPPES

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

VICTOR BOOMER-JENKS LCSW; LICSW; (NPI 1760891014) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L5320) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760891014
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameVICTOR BOOMER-JENKSCredential: LCSW; LICSW;
Location Address10373 NE HANCOCK STPortland, OR 97220-3873
Mailing Address10373 Ne Hancock StPortland, OR 97220-3873
Phone(503) 253-6754
Sole ProprietorNo
Enumeration DateAugust 11, 2014
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1760891014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L5320
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10373 NE HANCOCK ST, Portland, OR 97220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victor Boomer-jenks Lcsw; Licsw; is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Victor Boomer-jenks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
4.2 mi
General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1063990695 (800) 813-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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.

MRS. KRISTI ANN WILLIAMS PMHNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
10373 NE HANCOCK ST
PORTLAND, OR 97220
Multnomah County (503) 261-6179
VIRGINIA NOGGLE
Counselor (Addiction (Substance Use Disorder))
10373 NE HANCOCK ST
PORTLAND, OR 97220
Multnomah County (503) 253-6754
KENT BROMENSCHENKEL
Counselor (Addiction (Substance Use Disorder))
10373 NE HANCOCK ST
PORTLAND, OR 97220
Multnomah County (503) 253-6754
DONNA MYLINDA HENDERSON
Adult Companion
10373 NE HANCOCK ST
PORTLAND, OR 97220
Multnomah County (503) 253-6754
INTERNAL MEDICINE ASSOCIATES OF PORTLAND, LLC
Internal Medicine
10373 NE HANCOCK ST, SUITE 115
PORTLAND, OR 97220
Multnomah County (503) 853-8631
AVERYL IRENE GROWDEN
Counselor (Mental Health)
10373 NE HANCOCK ST
PORTLAND, OR 97220
Multnomah County (503) 238-0769
CLARK G YOUNG M.S., QMHP
Counselor (Mental Health)
10373 NE HANCOCK ST
PORTLAND, OR 97220
Multnomah County (503) 253-6754
DOUGLAS BALD, M.D., P.C.
Orthopaedic Surgery
10373 NE HANCOCK ST, SUITE 118
PORTLAND, OR 97220
Multnomah County (503) 254-0331

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 Victor Boomer-jenks's NPI number?

The NPI number for Victor Boomer-jenks is 1760891014. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Where is Victor Boomer-jenks located?

Victor Boomer-jenks practices at 10373 NE Hancock St, Portland, OR 97220. The listed phone number is (503) 253-6754.

What is Victor Boomer-jenks's specialty?

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

Is Victor Boomer-jenks enrolled in Medicare?

Yes. Victor Boomer-jenks is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victor Boomer-jenks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victor Boomer-jenks reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victor Boomer-jenks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victor Boomer-jenks accept?

Health plans from Kaiser Permanente list Victor Boomer-jenks 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 Victor Boomer-jenks was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.