Organization Active NPI

Frederick Dygert, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1164021044
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FREDERICK DYGERT, LCSW
Practice address
1445 Willamette St Ste 2B
Eugene, OR 97401-4087
Phone
(541) 520-1679
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Frederick Dygert, LCSWNPI 1689975633
Title
Owner
Phone
(541) 520-1679

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1445 Willamette St Ste 2B
Eugene, OR 97401-4087

Mailing address

1430 Willamette St # 608
Eugene, OR 97401-4049
Phone (541) 520-1679

National Provider Directory

National Provider Directory

Locations

1430 Willamette St
#608
Eugene, OR 97401

1445 Willamette St
Ste 2B
Eugene, OR 97401
Phone (541) 520-1679

Practitioners & affiliated clinicians

Practitioners 2

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": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1164021044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILLAMETTE ST # 608",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014049",
            "telephone_number": "541-520-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WILLAMETTE ST STE 2B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014087",
            "telephone_number": "541-520-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK DYGERT, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "DYGERT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-520-1679",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 21, 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.