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MR. JUSTIN I. HERSOM LCSW
NPI 1871937078
Social Worker - Clinical in Tillamook, OR

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
17250 WILSON RIVER HWY, TILLAMOOK, OR 97141(832) 326-8552(503) 842-5035 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin I. Hersom Lcsw NPPES

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

MR. JUSTIN I. HERSOM LCSW (NPI 1871937078) is an individual clinical provider in Tillamook, Oregon, licensed in Oregon (6051) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Lake Hills, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1871937078
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JUSTIN I. HERSOMCredential: LCSW
Location Address17250 WILSON RIVER HWYTillamook, OR 97141-9145
Mailing Address17250 Wilson River HwyTillamook, OR 97141-9145 · (832) 326-8552 · Fax (503) 842-5035
Phone(832) 326-8552
Fax(503) 842-5035
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 18, 2013
Last NPPES UpdateJuly 12, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1871937078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in OR · 6051✔ Licensed in TX · 55202
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 ListedSocial WorkerTaxonomy 104100000X · License 55202 (TX)
17250 WILSON RIVER HWY, Tillamook, OR 97141
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 S Capital Of Texas HwyWest Lake Hills, TX 78746-6574 · Phone (737) 477-9457

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

Mr. Justin I. Hersom 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 ID8628380797
PECOS Enrollment IDI20220726003772, I20220827000292
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
271 services11 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
44 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97141 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Justin Hersom's NPI number?

The NPI number for Justin Hersom is 1871937078. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Justin Hersom located?

Justin Hersom practices at 17250 Wilson River Hwy, Tillamook, OR 97141. The listed phone number is (832) 326-8552.

What is Justin Hersom's specialty?

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

Is Justin Hersom enrolled in Medicare?

Yes. Justin Hersom 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.

What insurance does Justin Hersom accept?

Health plans from Moda Health Plan, Inc. list Justin Hersom 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 Justin Hersom was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.