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

Mr. Jasper Damien Williams, LMSW

Individual provider Mental Health Counselor · NPI 1295237899

Mr. Jasper Damien Williams, LMSW is a Clinical Social Worker in Corvallis, Oregon. Qualified in 2017, 9 years ago. Practices with Salem Clinic PC, a 100-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
9
Licensed in
ID, OR
In the registry since
2018
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3509 NW Samaritan Dr Ste 215
Corvallis, OR 97330-3893
Phone: (541) 768-5235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1133 N Main St, Pocatello, ID 83204-2717 — (208) 234-9361

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L12739 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence LMSW-37446 (ID)

Record details

NPI number1295237899
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Salem Clinic Pc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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