Individual provider Active NPI

Karen Ellen Weiner, LCSW

  • Clinical Social Worker
  • Corvallis, OR
National Provider Identifier
1457541518
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L2282 Issued in OR
Practice address
310 NW 5TH St
Suite 206
Corvallis, OR 97330-4842
Phone
(541) 753-8291
Fax
(541) 754-2520
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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 L2282 OR Primary

Addresses

Primary practice location

310 NW 5TH St
Suite 206
Corvallis, OR 97330-4842

Mailing address

310 NW 5TH St
Suite 206
Corvallis, OR 97330-4842
Phone (541) 753-8291

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
I20240815003416 OR Practitioner - Clinical Social Worker 9739627183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fjord Counseling LLCGroup PAC ID 1658711015, 8 clinicians

Practice addresses (Care Compare)

2440 Willamette St
Suite 202
Eugene, OR 97405-3170
Phone (541) 234-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2282ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fjord Counseling LLC Clinical CurrentSince Jul 10, 2024 Accepting new patients
Accountable Behavioral Health Alliance Past Accepting new patients
Arise Counseling Service, LLC. Dba Northlight Counseling Clinical PastSince Aug 2, 2020 Accepting new patients

Locations

2440 Willamette St
Ste 202
Eugene, OR 97405
Phone (541) 234-3090

Organizations & group practices 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1457541518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 5TH ST",
            "address_2": "SUITE 206",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304842",
            "telephone_number": "541-753-8291",
            "fax_number": "541-754-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 5TH ST",
            "address_2": "SUITE 206",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304842",
            "telephone_number": "541-753-8291",
            "fax_number": "541-754-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "KAREN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.