Active NPI
Carla B. Newbre, M.S.W.
- Clinical Social Worker
- Eugene, OR
National Provider Identifier
1710068994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L4555
- Practice address
- 2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824 - Phone
- (541) 682-3608
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L4555 | OR | Primary |
Addresses
Primary practice location
2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824
Mailing address
544 W 16TH Ave
Eugene, OR 97401-3870
Phone (541) 345-7366
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 |
|---|---|---|---|
| L4555 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1710068994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 W 16TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013870",
"telephone_number": "541-345-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 MARTIN LUTHER KING JR BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974015824",
"telephone_number": "541-682-3608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBRE",
"first_name": "CARLA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L4555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.