Organization Active NPI

Jeremy a. Springer, LCSW

  • Clinical Social Worker
  • The Dalles, OR
National Provider Identifier
1144833633
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEREMY A. SPRINGER, LCSW
Practice address
500 Washington St
The Dalles, OR 97058-2217
Phone
(541) 861-9128
Fax
(509) 773-3247
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Jeremy Alan Springer, LCSWNPI 1841540143
Title
Owner
Phone
(541) 861-9128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

500 Washington St
The Dalles, OR 97058-2217

Mailing address

36 Forest Hill LN
Goldendale, WA 98620-2518
Phone (541) 861-9128

Other identifiers 1

IdentifierTypeStateIssuer
500651547MedicaidOR

National Provider Directory

National Provider Directory

Locations

500 Washington St
The Dalles, OR 97058
Phone (541) 370-2350

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1144833633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FOREST HILL LN",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986202518",
            "telephone_number": "541-861-9128",
            "fax_number": "509-773-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WASHINGTON ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582217",
            "telephone_number": "541-861-9128",
            "fax_number": "509-773-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY A. SPRINGER, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-861-9128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500651547",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.