IndividualActive
Jennifer Beaudoin, CSWA
NPI 1104692987 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1104692987
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- CSWA
- Sex
- Female
- Sole proprietor
- No
- License
- A11586 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
7820 Ne Holman St Ste B5
Portland, OR 97218-2859
Phone: (503) 258-4554
Street-level locationGet directions
Mailing address
7820 Ne Holman St Ste B5
Portland, OR 97218-2859
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.