Individual provider Active NPI

Victoria Harris, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1467937276
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L11138 Issued in OR
Practice address
1976 Garden Ave
Eugene, OR 97403-1933
Phone
(541) 255-1411
Fax
(541) 255-1412
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X L11138 OR Primary

Addresses

Primary practice location

1976 Garden Ave
Eugene, OR 97403-1933

Mailing address

1976 Garden Ave
Eugene, OR 97403-1933
Phone (541) 255-1411

Other practice location 1

4455 NE Highway 20
Corvallis, OR 97330-9695
Phone (541) 757-1852

Other identifiers 1

IdentifierTypeStateIssuer
500767308MedicaidOR

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
I20221028001194 OR Practitioner - Clinical Social Worker 9537536818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridges Community Health IncGroup PAC ID 0547502783, 14 clinicians

Practice addresses (Care Compare)

1976 Garden Ave
Eugene, OR 97403-1933
Phone 54125514111010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Community Health Solutions CurrentSince Sep 3, 2022 Accepting new patients
Bridges Community Health Inc. CurrentSince Dec 12, 2022 Accepting new patients
Willamette Community Health Solutions CurrentSince Sep 3, 2022 Accepting new patients
Willamette Community Health Solutions PastSince Oct 1, 2022 Accepting new patients

Locations

1450 Birch Ave
Cottage Grove, OR 97424
Phone (541) 255-1411

1599 Oak St
Eugene, OR 97401
Phone (541) 255-1411

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

1976 Garden Ave
Eugene, OR 97403
Phone (541) 255-1411

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

1711 Willamette St
Ste 301
Eugene, OR 97401
Phone (208) 596-6910

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1467937276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GARDEN AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031933",
            "telephone_number": "541-255-1411",
            "fax_number": "541-255-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 NE Highway 20",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973309695",
            "country_code": "US",
            "telephone_number": "541-757-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L11138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500767308",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.