NPIMap

Organization Active NPI

Kaseja Wilder LLC

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1164996294
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KASEJA WILDER LLC
Practice address
575 Kingswood Ave
Eugene, OR 97405-3541
Phone
(541) 844-5038
NPI assigned
Jan 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Kaseja Laurine Wilder, LCSWNPI 1326476565
Title
Owner
Phone
(541) 844-5038

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

575 Kingswood Ave
Eugene, OR 97405-3541

Mailing address

575 Kingswood Ave
Eugene, OR 97405-3541
Phone (541) 844-5038

National Provider Directory

National Provider Directory

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": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1164996294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 KINGSWOOD AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053541",
            "telephone_number": "541-844-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 KINGSWOOD AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053541",
            "telephone_number": "541-844-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASEJA WILDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "KASEJA",
        "authorized_official_middle_name": "LAURINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-844-5038",
        "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 Apr 9, 2019; 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.