Individual provider Active NPI

Frederick M Dygert, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1689975633
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L5227 Issued in OR
Practice address
1711 Willamette St Ste 2
Eugene, OR 97401-4014
Phone
(541) 520-1679
NPI assigned
Nov 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 97-04-19 OR
Social Worker 104100000X A2316 OR
Clinical Social Worker 1041C0700X L5227 OR Primary

Addresses

Primary practice location

1711 Willamette St Ste 2
Eugene, OR 97401-4014

Mailing address

242 Canary Ave
Creswell, OR 97426-9879
Phone (541) 520-1679

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
I20151216000502 OR Practitioner - Clinical Social Worker 3678874633 Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1445 Willamette St
Suite 2B
Eugene, OR 97401-4087
Phone (541) 520-1679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2316ORMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Dygert, LCSW Clinical CurrentSince Oct 25, 2020 Accepting new patients

Locations

1445 Willamette St
Ste 2B
Eugene, OR 97401
Phone (541) 520-1679

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": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1689975633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 CANARY AVE",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269879",
            "telephone_number": "541-520-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 WILLAMETTE ST STE 2",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014014",
            "telephone_number": "541-520-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYGERT",
        "first_name": "FREDERICK",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-08",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "97-04-19",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A2316",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.