Active NPI
Gary McNabb, LCSW
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1598939605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2129
- Practice address
- 492 E 13TH Ave
Suite 102
Eugene, OR 97401-4268 - Phone
- (541) 343-2525
- NPI assigned
- Apr 18, 2008
- Last updated
- Apr 18, 2008
- Sex
- Male
- 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 | 2129 | OR | Primary |
Addresses
Primary practice location
492 E 13TH Ave
Suite 102
Eugene, OR 97401-4268
Mailing address
2560 Charnelton St
Eugene, OR 97405-3216
Phone (541) 343-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anita J Dekker MD, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1598939605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 CHARNELTON ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974053216",
"telephone_number": "541-343-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 E 13TH AVE",
"address_2": "SUITE 102",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014268",
"telephone_number": "541-343-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNABB",
"first_name": "GARY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "2129",
"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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.