Jennifer Gwen Wassermiller, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A2223 Issued in OR

Practice address

576 Olive St
Suite 307
Eugene, OR 97401-2642

Phone

(541) 543-7673

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1154638070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 OLIVE ST",
            "address_2": "SUITE 307",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012642",
            "telephone_number": "541-543-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 OLIVE ST",
            "address_2": "SUITE 307",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012642",
            "telephone_number": "541-543-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMILLER",
        "first_name": "JENNIFER",
        "middle_name": "GWEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Day Washington, RDH
• Perry Wayne Washington, QMHA
• Shauna Washington
• Washizu Body Wellness
• Maya Kathleen Washizu, LAC
• Carrie S Waters, PT
• Kathryn C Waters, DC
• Scott J Waters, LPC
• Shannon Marie Waters
• Judith A. Watkins, M.D.

• 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 Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.