Individual provider Active NPI

Dana Carolyn Fleming, MSW, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1184978900
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8597 Issued in OR
Practice address
151 W 7TH Ave Ste 163
Eugene, OR 97401-2676
Phone
(541) 682-4464
Fax
(541) 682-3276
NPI assigned
Oct 31, 2012
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X L8597 OR Primary

Addresses

Primary practice location

151 W 7TH Ave Ste 163
Eugene, OR 97401-2676

Mailing address

2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550

Other practice location 1

1170 Pearl St
Eugene, OR 97401-3541
Phone (541) 743-4340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200404000335 OR Practitioner - Clinical Social Worker 5698104198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8597ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon CurrentSince Mar 1, 2020 Accepting new patients
Pink Lotus Healing CurrentSince Oct 9, 2022 Accepting new patients
Oslc Community Programs Past Accepting new patients

Locations

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-7206

151 W 7th Ave
Eugene, OR 97401
Phone (541) 682-4041

151 W 7th Ave
Ste 163
Eugene, OR 97401
Phone (541) 682-4135

2411 Martin Luther King Jr Blvd
Eugene, OR 97401
Phone (541) 682-3608

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: dana.fleming.p2@direct.lanecounty.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1184978900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-682-3550",
            "fax_number": "541-682-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W 7TH AVE STE 163",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012676",
            "telephone_number": "541-682-4464",
            "fax_number": "541-682-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Pearl St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013541",
            "country_code": "US",
            "telephone_number": "541-743-4340",
            "fax_number": "541-743-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "DANA",
        "middle_name": "CAROLYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.