Individual provider Active NPI

Erica Lynne Goldsmith, MSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1003287061
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8150 Issued in OR
Practice address
202 E 14TH Ave
Eugene, OR 97401-4166
Phone
(541) 505-5521
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X L8150 OR
Clinical Social Worker 1041C0700X L8150 OR Primary

Addresses

Primary practice location

202 E 14TH Ave
Eugene, OR 97401-4166

Mailing address

1473 McKinley St
Eugene, OR 97402-3340
Phone (541) 556-4955

Other practice location 1

2149 Centennial Plz Ste 4
Eugene, OR 97401-2456
Phone (541) 741-7107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806000911 OR Practitioner - Clinical Social Worker 4183951726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
White Bird ClinicGroup PAC ID 3678554060, 5 clinicians

Practice addresses (Care Compare)

1400 Mill St
Eugene, OR 97401-4259
Phone (541) 484-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8150ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Options Counseling Services of Oregon Mental Health CurrentSince May 29, 2019 Accepting new patients
White Bird Clinic CurrentSince May 4, 2024 Accepting new patients
Inner Room Somatic Therapy, LLC Past Accepting new patients
Addiction Counseling and Education Services Inc. Mental Health PastSince Mar 30, 2026 Accepting new patients

Locations

360 E 10th Ave
Ste 450
Eugene, OR 97401

1255 Pearl St
Ste 102
Eugene, OR 97401

341 E 12th Ave
Eugene, OR 97401
Phone (541) 342-8255

1400 Mill St
Eugene, OR 97401
Phone (541) 344-8302

202 E 14th Ave
Eugene, OR 97401
Phone (541) 505-5521

11010 SE Division St
Ste 202
Portland, OR 97266
Phone (503) 335-5975

2645 Portland Rd NE
Ste 120
Salem, OR 97301

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/whitebirdclinic/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1003287061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 MCKINLEY ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023340",
            "telephone_number": "541-556-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 14TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014166",
            "telephone_number": "541-505-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2149 Centennial Plz Ste 4",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012456",
            "country_code": "US",
            "telephone_number": "541-741-7107",
            "fax_number": "541-687-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "ERICA",
        "middle_name": "LYNNE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L8150",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.