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

Jennifer Susan Booth, MSW

Individual provider Clinical Social Worker · NPI 1598076986

Jennifer Susan Booth, MSW is a Clinical Social Worker in Portland, Oregon. Qualified in 1988, 38 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
38
Licensed in
OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

412 SW 12th Ave
Portland, OR 97205-2329
Phone: (503) 501-5667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence L5558 (OR)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1598076986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedJune 30, 2010
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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