Active NPI
Megan Olds
- Clinical Social Worker
- Cottage Grove, OR
National Provider Identifier
1609172956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7005
- Practice address
- 37 South 6TH Street
Cottage Grove, OR 97424 - Phone
- (541) 767-4086
- Fax
- (541) 942-9712
- NPI assigned
- Feb 3, 2011
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | L7005 | OR | Primary |
Addresses
Primary practice location
37 South 6TH Street
Cottage Grove, OR 97424
Mailing address
PO Box 5
Cottage Grove, OR 97424-0001
Phone (541) 942-3939
Other practice location 1
1345 Birch Ave
Cottage Grove, OR 97424-1416
Phone (541) 942-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019047 | Medicaid | OR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7005 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lane Mental Health Services, Inc | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Cottage Grove, OR
- NPI 1306905831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609172956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974240001",
"telephone_number": "541-942-3939",
"fax_number": "541-942-9310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 SOUTH 6TH STREET",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "97424",
"telephone_number": "541-767-4086",
"fax_number": "541-942-9712"
}
],
"practiceLocations": [
{
"address_1": "1345 Birch Ave",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974241416",
"country_code": "US",
"telephone_number": "541-942-3939",
"fax_number": "541-942-3910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLDS",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2018-03-17",
"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": "L7005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019047",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.