Individual provider Active NPI

Benjamin Norbert Habito, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1356073571
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17454 Issued in OR
Practice address
59 E 11TH Ave Ste 200
Eugene, OR 97401-3656
Phone
(541) 900-4285
NPI assigned
Jun 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 L17454 OR Primary

Addresses

Primary practice location

59 E 11TH Ave Ste 200
Eugene, OR 97401-3656

Mailing address

59 E 11TH Ave Ste 200
Eugene, OR 97401-3656
Phone (541) 900-4285

Other practice location 1

526 66th St
Springfield, OR 97478-7108
Phone (541) 744-6308

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
L17454ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Therapy LLC Clinical PastSince Dec 14, 2025 Accepting new patients

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1356073571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 11TH AVE STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013656",
            "telephone_number": "541-900-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 11TH AVE STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013656",
            "telephone_number": "541-900-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 66th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974787108",
            "country_code": "US",
            "telephone_number": "541-744-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABITO",
        "first_name": "BENJAMIN",
        "middle_name": "NORBERT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17454",
            "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 Dec 8, 2025; 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.