Individual provider Active NPI

Danene R Smith

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1558538769
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5261 Issued in OR
Practice address
921 Country Club Rd
222
Eugene, OR 97401-2257
Phone
(541) 686-6000
Fax
(541) 344-8239
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X L5261 OR Primary

Addresses

Primary practice location

921 Country Club Rd
222
Eugene, OR 97401-2257

Mailing address

921 Country Club Rd Ste 100
Eugene, OR 97401-6039

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
I20180326002824 OR Practitioner - Clinical Social Worker 9638431919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Mental Health LLCGroup PAC ID 4183153364, 4 clinicians

Practice addresses (Care Compare)

921 Country Club Rd
Suite 100
Eugene, OR 97401-6039
Phone (458) 205-8347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Mental Health, LLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Christians As Family Advocates Mental Health CurrentSince Mar 15, 2018 Accepting new patients

Locations

921 Country Club Rd
Ste 100
Eugene, OR 97401
Phone (458) 205-8347

921 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 686-6000

Organizations & group practices 2

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1558538769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD",
            "address_2": "222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012257",
            "telephone_number": "541-686-6000",
            "fax_number": "541-344-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANENE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.