Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Simone Beaudoin, CSWA

Individual provider Clinical Social Worker · NPI 1104692987

Jennifer Simone Beaudoin, CSWA is a Clinical Social Worker in Portland, Oregon. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2023
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Practice location Address checks out

7820 NE Holman St Ste B5
Portland, OR 97218-2859
Phone: (503) 258-4554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence A11586 (OR)

Record details

NPI number1104692987
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSWA
Sole proprietorNo
NPI enumeratedDecember 1, 2023
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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