Amelia Anne Fuller Jans, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A12661 Issued in OR

Practice address

2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824

Phone

(541) 682-3608

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Anne Fuller Jans Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amy.lancaster.p1@direct.lanecounty.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1770126971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "971-352-6971"
        },
        {
            "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": [
        {
            "address_1": "2211 NW Professional Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303891",
            "country_code": "US",
            "telephone_number": "541-257-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5441 S Macadam Ave Ste R",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393822",
            "country_code": "US",
            "telephone_number": "541-517-8359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER JANS",
        "first_name": "AMELIA",
        "middle_name": "ANNE",
        "credential": "CSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A12661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FULLER JANS",
            "middle_name": "ANNE",
            "credential": "CSWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David C Fryefield, MD
• Qiuling 'Julie' Fu, L.AC, M.AC.
• Heather Fudge
• Deborah R Fuerth, M.D.
• Full Circle Counseling
• Carrie Fuller, BS
• Mercedes Olivia Fuller
• Rebecca Sue Fuller, MA, LPC
• Olivia Marie Fulton, CADC-R, QMHA-R
• Sherion Fulton

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.