Jennifer Wallis, LCSW, CADCIII
NPI 1821285628 · Clinical Social Worker · Portland, OR
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Wallis, LCSW, CADCIII is a Clinical Social Worker provider in Portland, OR (NPI 1821285628).
Provider details
- NPI number
- 1821285628
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, CADCIII
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Frequently asked questions
- What is Jennifer Wallis's NPI number?
- Jennifer Wallis's National Provider Identifier (NPI) is 1821285628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallis's specialty?
- Jennifer Wallis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jennifer Wallis located?
- Jennifer Wallis's practice location on file with NPPES is 19500 Se Stark St, Portland, OR 97233-5757.
- What is Jennifer Wallis's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallis is (503) 278-0397.
- Does Jennifer Wallis accept Medicare?
- Jennifer Wallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Wallis's NPI active?
- Yes — Jennifer Wallis's NPI (1821285628) is active in the NPPES registry as of the last update on 2021-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.