Individual provider Active NPI

Linda M Willow, LCSW, QMHP

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1598968299
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3618 Issued in OR
Practice address
1976 Garden Ave
Eugene, OR 97403-1933
Phone
(541) 255-1411
Fax
(541) 255-1412
NPI assigned
Jun 8, 2007
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L3618 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

144 E 14th Ave Bldg G
Eugene, OR 97401-3533
Phone (541) 743-6997

Other identifiers 1

IdentifierTypeStateIssuer
500660436MedicaidOR

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
I20210913003378 OR Practitioner - Clinical Social Worker 2769888999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
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

State licenses

LicenseStateTypeSpecialty
L3618ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Health Inc. CurrentSince Jun 10, 2021 Accepting new patients

Locations

210 S 5th St
Cottage Grove, OR 97424
Phone (541) 255-1411

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

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

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

1430 Willamette St
#140
Eugene, OR 97401

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1598968299",
    "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": "144 E 14th Ave Bldg G",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013533",
            "country_code": "US",
            "telephone_number": "541-743-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOW",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "LCSW, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500660436",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.