Eleanor Crescenzi

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A14495 Issued in OR

Practice address

37 Schoolhouse LN
Shady Cove, OR 97539-9500

Phone

(541) 773-3863

NPI assigned

Sep 14, 2022

Last updated

Aug 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• La Clinica del Valle Family Health Care Center Inc.

  dba La Clinica School-Based Health Center at Jewett Elementary School

  • Federally Qualified Health Center (FQHC)
  • Central Point, OR
  • NPI 1760727135
  NPD (past)
• La Clinica del Valle Family Health Care Center Inc.

  dba Phoenix Health Center- La Clinica

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1851327571
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1245952423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "541-773-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SCHOOLHOUSE LN",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975399500",
            "telephone_number": "541-773-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCENZI",
        "first_name": "ELEANOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A14495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Russell Bennett, D.C.
• Philip Broesamle
• Central Drug Store Inc (Shady Cove Pharmacy)
• Paige Chick
• Casey Dean Clingan, DMD
• Orlinda Mae Delk, BA
• Kristin Carol Diasio, MS SPECIAL EDUCATION
• Direct Physical Therapy, LLC
• Valerie June Dubois, LCSW
• Gina Eilertson, D.C.

• Social Worker in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.