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

Individual provider Clinical Social Worker · NPI 1427868546

Jensine Peterson, LCSW is a Clinical Social Worker in Gresham, Oregon. Qualified in 2019, 7 years ago. Practices with Telecare Mental Health Services of Oregon, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4101 NE Division St
Gresham, OR 97030-4617
Phone: (503) 666-6575
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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 L11844 (OR)

Record details

NPI number1427868546
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 10, 2025
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Telecare Mental Health Services Of Oregon, Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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