Active NPI
Elizabeth Mary Remini, M.S.W., L.C.S.W.
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1295948131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2510
- Practice address
- 41 W 19TH Ave
Eugene, OR 97401-3822 - Phone
- (541) 485-2988
- Fax
- (541) 344-0122
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2510 | OR | Primary |
Addresses
Primary practice location
41 W 19TH Ave
Eugene, OR 97401-3822
Mailing address
3441 Storey Blvd
Eugene, OR 97405-2380
Phone (541) 517-2988
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251212003389 | OR | Practitioner - Clinical Social Worker | 8426428087 | Practice locations: Eugene, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3003 Willamette St
Eugene, OR 97405-3226
Phone (541) 517-2988
3441 Storey Blvd
Eugene, OR 97405-2380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2510 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295948131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3441 STOREY BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974052380",
"telephone_number": "541-517-2988",
"fax_number": "541-343-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 W 19TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013822",
"telephone_number": "541-485-2988",
"fax_number": "541-344-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMINI",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "M.S.W., L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "2510",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.