Active NPI
Jeremy a. Springer, LCSW
- Clinical Social Worker
- The Dalles, OR
National Provider Identifier
1144833633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Alan Springer, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500651547 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Goldendale, WA
- NPI 1841540143
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.