Joann Zumbrunnen, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4423 Issued in OR

Legal business name

JOANN ZUMBRUNNEN, LCSW, LLC

Practice address

927 Country Club Rd Ste 200
Eugene, OR 97401-2272

Phone

(541) 357-9439

Fax

(541) 722-7043

NPI assigned

Aug 13, 2017

Organization subpart

No

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

Authorized official

Name

Joann Zumbrunnen, LCSWNPI 1326376138

Title

Therapist

Phone

(541) 357-9439

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joann Zumbrunnen, LCSW

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1326376138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1104341965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1762",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770184",
            "telephone_number": "541-221-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 COUNTRY CLUB RD STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012272",
            "telephone_number": "541-357-9439",
            "fax_number": "541-722-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANN ZUMBRUNNEN, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-13",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "ZUMBRUNNEN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "541-357-9439",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OR",
            "license": "L4423",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500680786",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Britta Johannsen, LMT
• Kathleen Christine Johansen, RPH

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.