AMELIA ANNE FULLER JANS CSWA - NPI 1770126971

Q: What is Amelia Fuller Jans's NPI number?

The NPI number for Amelia Fuller Jans is 1770126971. It was assigned to this individual provider in the NPPES registry on October 21, 2019. The provider is also known as Amy Anne Fuller Jans Cswa.

Q: What is Amelia Fuller Jans's specialty?

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

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About Amelia Anne Fuller Jans Cswa NPPES

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

AMELIA ANNE FULLER JANS CSWA (NPI 1770126971) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (A12661) and active in the NPI registry since October 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770126971

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameAMELIA ANNE FULLER JANSCredential: CSWA

Location Address2411 MARTIN LUTHER KING JR BLVDEugene, OR 97401-5824

Mailing Address5441 S Macadam Ave Ste RPortland, OR 97239 · (971) 352-6971

Phone(541) 682-3608

Sole ProprietorYes

Enumeration DateOctober 21, 2019

Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1770126971 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 · A12661

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.

2411 MARTIN LUTHER KING JR BLVD, Eugene, OR 97401

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Other Names 1

Other Name (5)Amy Anne Fuller Jans Cswa

Secondary Practice Locations 2

Location 12211 NW Professional Dr Ste 101Corvallis, OR 97330-3891 · Phone (541) 257-5500

Location 25441 S Macadam Ave Ste RPortland, OR 97239-3822 · Phone (541) 517-8359

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.

KARYN ELIZABETH DEFOE LPC

Counselor (Mental Health)