Individual provider Active NPI

Jeremy Damon Oberender-Lecou, MSW, SUDP, LICSWA, M

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1285288167
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61572929 Issued in WA
Practice address
622 E 2ND Ave
Spokane, WA 99202-2202
Phone
(509) 960-8529
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61156622 WA
Clinical Social Worker 1041C0700X SC61572929 WA Primary
Mental Health Counselor 101YM0800X SC61572929 WA

Addresses

Primary practice location

622 E 2ND Ave
Spokane, WA 99202-2202

Mailing address

3325 W Hoffman Ave
Spokane, WA 99205-1713
Phone (509) 315-7312

Other practice location 1

400 S Jefferson St Ste 100
Spokane, WA 99204-3142
Phone (509) 866-6192

Other practice location 2

104 S Freya St Ste 210
Spokane, WA 99202-4871
Phone (509) 368-9863

Other practice location 3

910 W Boone Ave Ste 201
Spokane, WA 99201-2525
Phone (509) 325-7232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremy.oberender@p-h-s.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP61156622WAMDAddiction (Substance Use Disorder) Counselor
SC61572929WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hip of Spokane County Clinical CurrentSince Mar 24, 2025 Accepting new patients
Pioneer Human Services PastSince Aug 1, 2019 Accepting new patients

Locations

622 E 2nd Ave
Spokane, WA 99202
Phone (509) 242-3405

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1285288167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 W HOFFMAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051713",
            "telephone_number": "509-315-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022202",
            "telephone_number": "509-960-8529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Jefferson St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992043142",
            "country_code": "US",
            "telephone_number": "509-866-6192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 S Freya St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992024871",
            "country_code": "US",
            "telephone_number": "509-368-9863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 W Boone Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012525",
            "country_code": "US",
            "telephone_number": "509-325-7232",
            "fax_number": "509-325-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERENDER-LECOU",
        "first_name": "JEREMY",
        "middle_name": "DAMON",
        "name_prefix": "Mr.",
        "credential": "MSW, SUDP, LICSWA, M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61156622",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61572929",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61572929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremy.oberender@p-h-s.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "910 W Boone Ave Ste 201",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992012525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.