Individual provider Active NPI

Christopher Scott, LCSW

  • Clinical Social Worker
  • Keizer, OR
National Provider Identifier
1629472303
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L8207 Issued in OR
Practice address
5305 River Rd N Ste B
Keizer, OR 97303
Phone
(541) 321-6226
NPI assigned
Oct 9, 2014
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 L8207 OR Primary

Addresses

Primary practice location

5305 River Rd N Ste B
Keizer, OR 97303

Mailing address

1292 High St # 1026
Eugene, OR 97401-3238
Phone (541) 321-6226

Other practice location 1

777 High St Ste 240
Eugene, OR 97401-2759
Phone (541) 357-3248

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
I20191213002080 OR Practitioner - Clinical Social Worker 4981037439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

175 W B St
Suite B1
Springfield, OR 97477-4515
Phone (541) 321-6226

960 Hoover LN
Eugene, OR 97404-3015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8207ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Scott Clinical CurrentSince Dec 20, 2021 Accepting new patients
Inner Room Somatic Therapy, LLC Past Accepting new patients
Alive Holistic Counseling Past Accepting new patients
Alive Counseling Clinic, LLC PastSince Feb 1, 2024 Accepting new patients

Locations

1292 High St
Eugene, OR 97401
Phone (541) 636-3473

5305 River Rd N
Ste B
Keizer, OR 97303
Phone (248) 221-1670

175 W B St
Ste B1
Springfield, OR 97477
Phone (541) 230-7238

Organizations & group practices 4

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": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1629472303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1292 HIGH ST # 1026",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013238",
            "telephone_number": "541-321-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 RIVER RD N STE B",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "541-321-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 High St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012759",
            "country_code": "US",
            "telephone_number": "541-357-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L8207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.