Individual provider Active NPI

Amanda Lane Perrault, CSWA

  • Social Worker
  • Eugene, OR
National Provider Identifier
1154235794
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
A15382 Issued in OR
Practice address
72 W Broadway Ste 250-B
Eugene, OR 97401-3065
Phone
(855) 985-2669
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A15382 OR Primary

Addresses

Primary practice location

72 W Broadway Ste 250-B
Eugene, OR 97401-3065

Mailing address

72 W Broadway Ste 250-B
Eugene, OR 97401-3065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1154235794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W BROADWAY STE 250-B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W BROADWAY STE 250-B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013065",
            "telephone_number": "855-985-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAULT",
        "first_name": "AMANDA",
        "middle_name": "LANE",
        "credential": "CSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A15382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.