Active NPI
Alexandra Perez Urbina, LCSW
- Clinical Social Worker
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L16564
- Practice address
- 132 E Broadway Ste 218
Eugene, OR 97401-3150 - Phone
- (503) 836-3118
- Fax
- (503) 836-3119
- NPI assigned
- Sep 21, 2021
- 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 | L16564 | OR | Primary |
Addresses
Primary practice location
132 E Broadway Ste 218
Eugene, OR 97401-3150
Mailing address
5441 S Macadam Ave # 4916
Portland, OR 97239-6106
Phone (503) 836-3118
Other practice location 1
2233 Willamette St Ste F
Eugene, OR 97405-2890
Phone (541) 357-3248
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 |
|---|---|---|---|---|
| I20251121000919 | OR | Practitioner - Clinical Social Worker | 2769974369 | Practice locations: Eugene, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
132 E Broadway
Suite 218
Eugene, OR 97401-3150
Phone 5038363118100
3930 N Montana Ave Unit
Suite 5
Portland, OR 97227-1285
5441 S Macadam Ave
Suite 4916
Portland, OR 97239-6106
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L16564 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Development, Inc. | Past | Accepting new patients | |
| Center for Family Development, Inc. | Past | Accepting new patients | |
| Alive Holistic Counseling | Counselor | Past | Accepting new patients |
| Alive Counseling Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/c-f-d/r4/
Organizations & group practices 4
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.
-
- Professional Counselor
- Eugene, OR
- NPI 1801651617
-
- Counselor
- Eugene, OR
- NPI 1205388253
-
- Mental Health Counselor
- Eugene, OR
- NPI 1265609184
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Eugene, OR
- NPI 1538150388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1427729367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 S MACADAM AVE # 4916",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396106",
"telephone_number": "503-836-3118",
"fax_number": "503-836-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E BROADWAY STE 218",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013150",
"telephone_number": "503-836-3118",
"fax_number": "503-836-3119"
}
],
"practiceLocations": [
{
"address_1": "2233 Willamette St Ste F",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974052890",
"country_code": "US",
"telephone_number": "541-357-3248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ URBINA",
"first_name": "ALEXANDRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L16564",
"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 Sep 22, 2025; 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.