Healthcare Provider Details

I. General information

NPI: 1265024418
Provider Name (Legal Business Name): JESSICA SCHEIRER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA SUBERS LCSW

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 NE COURTNEY DR
BEND OR
97701-7752
US

IV. Provider business mailing address

1953 SW 37TH ST
REDMOND OR
97756-8383
US

V. Phone/Fax

Practice location:
  • Phone: 541-322-7500
  • Fax: 541-322-7565
Mailing address:
  • Phone: 610-283-2891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL11918
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: