Sarah Jane Petersen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L2892 Issued in OR

Practice address

2650 Suzanne Way
Eugene, OR 97408-7319

Phone

(541) 345-2800

NPI assigned

May 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willamette Community Health SolutionsGroup PAC ID 5496667578, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1804/brand/1/csg/1/fhir/r4

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.

• Willamette Community Health Solutions

  • Diabetes Educator Registered Nurse
  • Eugene, OR
  • NPI 1255379566
  Medicare reassignment Care Compare group NPD
• Willamette Community Health Solutions

  • Physical Therapist
  • Eugene, OR
  • NPI 1649431636
  NPD
• Doctors Emergency Room Corp PC

  • Emergency Medicine Physician
  • Eugene, OR
  • NPI 1811055437
  NPD (past)
• Willamette Community Health Solutions

  • Social Worker
  • Eugene, OR
  • NPI 1982855219
  NPD (past)

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1780424234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LAWRENCE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013806",
            "telephone_number": "541-579-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-345-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Cesar Petersen, MD
• Marna Petersen, MAPC, LPC
• Mary Ann Petersen, LAC
• Mitchell Paul Petersen
• Ryan Petersen, PHARMD
• Seth J Petersen
• Ivy Louise Peterson East
• Alyssa Peterson, PA-C
• Amy Peterson, QMHP
• Brian Christopher Peterson, B.S. PSYCHOLOGY

• 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 May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.