Individual provider Active NPI

Valinda Sue Wetmore, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1023463452
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6949 Issued in OR
Practice address
3003 Willamette St
Eugene, OR 97405-3241
Phone
(541) 972-3722
Fax
(541) 632-8270
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L6949 OR Primary

Addresses

Primary practice location

3003 Willamette St
Eugene, OR 97405-3241

Mailing address

3003 Willamette St # 10
Eugene, OR 97405-3241
Phone (541) 972-3722

Other practice location 1

2650 Suzanne Way Ste 200
Eugene, OR 97408
Phone (541) 345-2580

Other practice location 2

19875 SW 65th Ave Ste 100
Tualatin, OR 97062-8353
Phone (503) 612-3187

Other identifiers 1

IdentifierTypeStateIssuer
500705302MedicaidOR

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
I20160624001218 OR Practitioner - Clinical Social Worker 0345531182 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3003 Willamette St
Eugene, OR 97405-3241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L6949ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions CurrentSince Jun 27, 2018 Accepting new patients
Willamette Community Health Solutions CurrentSince Jun 27, 2018 Accepting new patients
Legacy Meridian Park Pediatric Rehab Past Accepting new patients

Locations

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

Organizations & group practices 3

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1023463452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 WILLAMETTE ST # 10",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053241",
            "telephone_number": "541-972-3722",
            "fax_number": "541-632-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053241",
            "telephone_number": "541-972-3722",
            "fax_number": "541-632-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Suzanne Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97408",
            "country_code": "US",
            "telephone_number": "541-345-2580",
            "fax_number": "541-345-4419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19875 SW 65th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970628353",
            "country_code": "US",
            "telephone_number": "503-612-3187",
            "fax_number": "503-692-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETMORE",
        "first_name": "VALINDA",
        "middle_name": "SUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500705302",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.