Individual provider Active NPI

Ron Unger, L.C.S.W.

  • Clinical Social Worker
  • Eugene, OR
National Provider Identifier
1760469324
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L3345 Issued in OR
Practice address
492 E 13TH Ave Ste 107
Eugene, OR 97401-4250
Phone
(541) 513-1811
Fax
(844) 729-1748
NPI assigned
Dec 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 L3345 OR Primary

Addresses

Primary practice location

492 E 13TH Ave Ste 107
Eugene, OR 97401-4250

Mailing address

1770 Augusta St
Eugene, OR 97403-2209
Phone (541) 513-1811

Other practice location 1

1234 High St
Eugene, OR 97401-3238
Phone (541) 342-8437

Other identifiers 2

IdentifierTypeStateIssuer
2003850-01OtherREGENCE PROVIDER NUMBER
J0147OtherORPACIFIC SOURCE ID NUMBER

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
I20050510000073 OR Practitioner - Clinical Social Worker 2961442934 Reassigns benefits to 1 organization
Practice locations: Eugene, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Family Development, Inc.Group PAC ID 2466629217, 17 clinicians

Practice addresses (Care Compare)

1234 High St
Eugene, OR 97401-3238
Phone (541) 342-6204

1258 High St
Eugene, OR 97401-3238
Phone (541) 342-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Development, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Center for Family Development, Inc. CurrentSince Nov 1, 2011 Accepting new patients

Locations

1258 High St
Eugene, OR 97401
Phone (541) 342-6204

1234 High St
Eugene, OR 97401
Phone (541) 343-8122

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/c-f-d/r4/

Organizations & group practices 2

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": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1760469324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 AUGUSTA ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032209",
            "telephone_number": "541-513-1811",
            "fax_number": "541-686-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 E 13TH AVE STE 107",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014250",
            "telephone_number": "541-513-1811",
            "fax_number": "844-729-1748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 High St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013238",
            "country_code": "US",
            "telephone_number": "541-342-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNGER",
        "first_name": "RON",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER NUMBER",
            "identifier": "2003850-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE ID NUMBER",
            "identifier": "J0147",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.