Individual provider Active NPI

Erika Waechter, MSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1336113877
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L0520 Issued in OR
Practice address
1193 Pearl St
Eugene, OR 97401-3521
Phone
(541) 343-1937
Fax
(541) 343-5875
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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 L0520 OR Primary

Addresses

Primary practice location

1193 Pearl St
Eugene, OR 97401-3521

Mailing address

1193 Pearl St
Eugene, OR 97401-3521
Phone (541) 343-1937

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
L0520ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Development, Inc. Past Accepting new patients
Center for Family Development, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1336113877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013521",
            "telephone_number": "541-343-1937",
            "fax_number": "541-343-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 PEARL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013521",
            "telephone_number": "541-343-1937",
            "fax_number": "541-343-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAECHTER",
        "first_name": "ERIKA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L0520",
            "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 Oct 23, 2008; 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.