Individual provider Active NPI

Carolyn Ann Rexius, LCSW

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1700953189
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L1983 Issued in OR
Practice address
921 Country Club Rd
Ste 222
Eugene, OR 97401-2257
Phone
(541) 686-6000
Fax
(541) 344-8239
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L1983 OR
Clinical Social Worker 1041C0700X L1983 OR Primary

Addresses

Primary practice location

921 Country Club Rd
Ste 222
Eugene, OR 97401-2257

Mailing address

921 Country Club Rd
Ste 222
Eugene, OR 97401-2257
Phone (541) 686-6000

Other identifiers 1

IdentifierTypeStateIssuer
YELLOWFLOWRSOtherORPRIVATE PRACTICE

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
I20180314001767 OR Practitioner - Clinical Social Worker 4183985773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christians As Family AdvocatesGroup PAC ID 5092949446, 9 clinicians

Practice addresses (Care Compare)

921 Country Club Rd
Suite 222
Eugene, OR 97401-2238
Phone 5416866000558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1983ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christians As Family Advocates CurrentSince Jan 17, 2018 Accepting new patients

Locations

921 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 686-6000

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1700953189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD",
            "address_2": "STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012257",
            "telephone_number": "541-686-6000",
            "fax_number": "541-344-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 COUNTRY CLUB RD",
            "address_2": "STE 222",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012257",
            "telephone_number": "541-686-6000",
            "fax_number": "541-344-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXIUS",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "L1983",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "YELLOWFLOWRS",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.