IndividualActive
Jacob Moss
NPI 1053621912 · Social Worker · Portland, OR
Jacob Moss is a Social Worker provider in Portland, OR (NPI 1053621912).
Provider details
- NPI number
- 1053621912
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12636 Se Stark St
Plaza 125, Bldg J
Portland, OR 97233-1058
Phone: (503) 253-4600
Fax: (503) 253-4609
Street-level locationGet directions
Mailing address
Po Box 82819
Portland, OR 97282-0819
Registry dates
- Enumerated
- 2010-10-13
- Last updated
- 2014-07-24
Frequently asked questions
- What is Jacob Moss's NPI number?
- Jacob Moss's National Provider Identifier (NPI) is 1053621912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Moss's specialty?
- Jacob Moss is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Jacob Moss located?
- Jacob Moss's practice location on file with NPPES is 12636 Se Stark St, Portland, OR 97233-1058.
- What is Jacob Moss's phone number?
- The practice phone number listed in the NPPES registry for Jacob Moss is (503) 253-4600.
- Is Jacob Moss's NPI active?
- Yes — Jacob Moss's NPI (1053621912) is active in the NPPES registry as of the last update on 2014-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.