Provider Demographics
NPI:1386528040
Name:CASARES, JESSICA ELENA (CSWA)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ELENA
Last Name:CASARES
Suffix:
Gender:F
Credentials:CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 COBURG RD STE 201
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7489
Mailing Address - Country:US
Mailing Address - Phone:541-331-0342
Mailing Address - Fax:
Practice Address - Street 1:2295 COBURG RD STE 201
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7489
Practice Address - Country:US
Practice Address - Phone:541-331-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA167071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical