Individual provider Active NPI

Joann Zumbrunnen, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1326376138
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L4423 Issued in OR
Practice address
927 Country Club Rd Ste 200
Eugene, OR 97401-2272
Phone
(541) 357-9439
Fax
(541) 722-7043
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L4423 OR Primary

Addresses

Primary practice location

927 Country Club Rd Ste 200
Eugene, OR 97401-2272

Mailing address

PO Box 1762
Springfield, OR 97477-0184
Phone (541) 357-9439

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL 5417227043 Direct

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
I20170927002732 OR Practitioner - Clinical Social Worker 9133493232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

927 Country Club Rd
Suite 200
Eugene, OR 97401-2272
Phone (541) 357-9439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L4423ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joann Zumbrunnen, LCSW, LLC Clinical CurrentSince Aug 1, 2017 Accepting new patients

Locations

927 Country Club Rd
Ste 200
Eugene, OR 97401
Phone (541) 357-9439

296 E 5th Ave
Ste 323
Eugene, OR 97401
Phone (541) 357-9439

Organizations & group practices 1

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1326376138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1762",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770184",
            "telephone_number": "541-357-9439",
            "fax_number": "541-743-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 COUNTRY CLUB RD STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012272",
            "telephone_number": "541-357-9439",
            "fax_number": "541-722-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMBRUNNEN",
        "first_name": "JOANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "5417227043",
            "affiliation": "N",
            "endpointDescription": "fax number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "927 Country Club Rd Ste 200",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974012272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.