Active NPI
Christine M Jones, LICSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1508119538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 60618673
- Practice address
- 4055 Royal Ave SPC 27
Eugene, OR 97402-6820 - Phone
- (360) 232-3906
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L14610 | OR | |
| Clinical Social Worker | 1041C0700X | 60618673 | WA | Primary |
Addresses
Primary practice location
4055 Royal Ave SPC 27
Eugene, OR 97402-6820
Mailing address
4736 Royal Ave
PMB 109169
Eugene, OR 97402
Phone (360) 232-3906
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 |
|---|---|---|---|---|
| I20240805002512 | OR | Practitioner - Clinical Social Worker | 9436433232 | Practice locations: Eugene, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4055 Royal Ave
SPC 27
Eugene, OR 97402-6820
Phone (360) 232-3906
4055 Royal Ave SPC
Suite 27
Eugene, OR 97402-6820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L14610 | OR | MD | Clinical Social Worker |
| 60618673 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1508119538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4736 ROYAL AVE",
"address_2": "PMB 109169",
"city": "EUGENE",
"state": "OR",
"postal_code": "97402",
"telephone_number": "360-232-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 ROYAL AVE SPC 27",
"city": "EUGENE",
"state": "OR",
"postal_code": "974026820",
"telephone_number": "360-232-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L14610",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "60618673",
"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 Feb 14, 2024; 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.