Active NPI
Kara D Myers LCSW LLC
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1396106092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4887
- Legal business name
- KARA D MYERS LCSW LLC
- Practice address
- 511 E 12TH Ave
Eugene, OR 97401-3608 - Phone
- (541) 514-0393
- Fax
- (541) 344-7595
- NPI assigned
- Mar 9, 2016
- Last updated
- Mar 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara D Myers, LCSW
- Title
- Sole Owner/Member
- Phone
- (541) 514-0393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4887 | OR | Primary |
Addresses
Primary practice location
511 E 12TH Ave
Eugene, OR 97401-3608
Mailing address
511 E 12TH Ave
Eugene, OR 97401-3608
Phone (541) 514-0393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500642282 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Eugene, OR
- NPI 1306043252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457568000000",
"number": "1396106092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013608",
"telephone_number": "541-514-0393",
"fax_number": "541-344-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013608",
"telephone_number": "541-514-0393",
"fax_number": "541-344-7595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARA D MYERS LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-09",
"last_updated": "2016-03-10",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "KARA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOLE OWNER/MEMBER",
"authorized_official_telephone_number": "541-514-0393",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500642282",
"state": "OR"
}
],
"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 Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.